| NPI | 1073285326 |
|---|---|
| Former Legal Business Name | THERAPEUTIC KONEC, PLLC |
| Entity Type | Organization |
| Authorized Contact | OZELLA MAYNARD Owner 919-408-1874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2021-10-04 |