| NPI | 1285018168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MICHELLE BENJAMIN Owner 919-523-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2017-03-09 |