| NPI | 1063009744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA SMITH THOM Owner 919-659-5209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2021-02-17 |