| NPI | 1144611203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLO RAYLEEN WATSON Mh And Sa Therapist/Owner 919-889-1559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C009012) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC LCAS-2969) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |