| NPI | 1992102370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON MILLARD SUTTON Co Owner 919-921-2459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018247) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |