| NPI | 1174766554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DEE MORDEN Owner 919-502-9361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 6697) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2022-07-21 |