| NPI | 1215984083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY W FITZGERALD Ms. 919-942-4778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC C002252) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2012-11-09 |