| NPI | 1194557231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZA JANE HARRIS Owner 919-244-2254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2024-08-16 |