| NPI | 1356487136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON MAURICE ELLIOTT Owner 919-762-1621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |