| NPI | 1104052901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE M HARDY President/Owner 919-434-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C003663) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1222) |
| 103T00000X Psychologist (Licence: NC 1572) | |
| 103TC1900X Psychologist, Counseling (Licence: NC 865) | |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2011-07-25 |