| NPI | 1043843790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKERIA MCGUIRE Owner 919-391-5128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |