| NPI | 1992255665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMISHA POWELL Operations Directior 919-402-8738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC P010856) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |