| NPI | 1265867857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EDWARDS VP 919-798-8780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2014-01-27 |