| NPI | 1053098491 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | AMY R CLECKLER Owner 919-943-9931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-06-28 |