| NPI | 1023378254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN SHELDON Practice Manager 919-434-6398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 7714) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C007423) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2019-02-19 |