| NPI | 1285241752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORY MANATHAN GRAHAM Executive Director/Owner 919-902-8707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2022-12-24 |