| NPI | 1366793895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE KATHERINE CRISWELL Owner/Licensed Marriage And Family 919-285-4802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 1451) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2016-04-12 |