| NPI | 1124782057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL JOY HALL Owner 919-922-7924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2024-10-28 |