| NPI | 1083812481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DRIVER Incorporator 919-554-1231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 5457) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C004553) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2020-08-22 |