| NPI | 1346837358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSIAH DEBNAM Owner 919-791-8202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2022-04-05 |