| NPI | 1285054692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROB DAVIS Admin Support 919-251-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2018-05-31 |