| NPI | 1245435718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY ANNE WARE President 919-414-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-22 |