| NPI | 1922487024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD HEARST Independent License Social Worker 704-567-0790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC P009234) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-08-06 |