| NPI | 1134468077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROB DANZMAN Clinical Director 919-351-5838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 7647) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional (Licence: NC 7647) | |
| 251B00000X Case Management | |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |