| NPI | 1972835031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY BLACKARD COOK Partner 919-272-6854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C004059) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2012-05-21 |