| NPI | 1326283102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES F. BLACKBURN Clinician / Owner 919-830-5749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 3290) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |