| NPI | 1013255306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY SULLIVAN RUTA Owner, Therapist 919-435-1347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC c006374) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |