| NPI | 1073869491 |
|---|---|
| Other Name | KRISTEN D RUDY SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | KRISTEN D RUDY Owner 910-777-1866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 7530) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |