| NPI | 1043003361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA GWYNNE SIMMONS Mental Health Counselor 919-696-0928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-05-30 |