| NPI | 1356581193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALRIE PARKS Director, Clinical Services 980-216-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 0999) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2012-07-18 |