| NPI | 1316310576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN WEATHERHEAD Counselor 919-410-3852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 11428) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |