| NPI | 1083320576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HENRY Licensed Clinical Social Worker 919-805-2597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-01-27 |