| NPI | 1992067086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE WHITT Licensed Clinical Social Worker 336-404-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC 000062) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |