NPI | 1194362566 |
---|---|
Entity Type | Organization |
Authorized Contact | DEONDRA CRUDUP Owner 919-748-7048 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2019-12-04 |
Last Update Date | 2024-06-12 |