| NPI | 1134424542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA HOLLAND-KORNEGAY Owner 919-601-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 7134) |
| Additional Taxonomies | 251S00000X |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2022-07-11 |