NPI | 1174214191 |
---|---|
Entity Type | Organization |
Authorized Contact | BLANCHE MIKHAIL Mental Health Therapist 919-270-8526 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2023-05-19 |
Last Update Date | 2023-05-19 |