| NPI | 1972441913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYISHA ROGERS Licensed Clinical Social Worker 910-335-1197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2026-03-23 |
| Last Update Date | 2026-03-23 |