| NPI | 1013025873 |
|---|---|
| Former Legal Business Name | WAKE FOREST COUNSELING SERVICES, INC |
| Entity Type | Organization |
| Authorized Contact | SHIRILL HICKS President 919-570-3004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 5201) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-17 |