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 |