| NPI | 1982868501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA Y STANLEY Owner/Member 910-358-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C004555) |
| Enumeration Date | 2008-07-13 |
| Last Update Date | 2008-07-25 |