| NPI | 1093483976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL DENISE BUNCH Owner 919-801-3199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-09-03 |