NPI | 1124661780 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY ROGERS Owner 919-586-4694 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2019-10-25 |
Last Update Date | 2022-08-11 |