| NPI | 1063741957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDRAKE K LEWIS Director 919-279-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 4713) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2009-12-23 |