| NPI | 1952681140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL TENNIE Managing Director 919-217-0933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C006312) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: SC 9742) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2017-03-16 |