| NPI | 1124161047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMIN DABOR Administrator 919-713-0323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC MHL 092 638) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |