NPI | 1144611203 |
---|---|
Entity Type | Organization |
Authorized Contact | MARLO RAYLEEN WATSON Mh And Sa Therapist/Owner 919-889-1559 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: NC c009012) |
Additional Taxonomies | 251S00000X (Licence: NC LCAS-2969) |
Enumeration Date | 2015-02-11 |
Last Update Date | 2015-02-11 |