| NPI | 1982271367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CELESTE WILSON Clinical Director 919-920-2561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-06-05 |
| Last Update Date | 2021-08-19 |