| NPI | 1265599021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BENTON MOULDS Practice Director & Owner 919-303-0273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC PC0018) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2011-07-12 |