| NPI | 1255593042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARTRICIA G ROBERTS Manager 919-622-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 2951) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |