| NPI | 1417875279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTWANE YELVERTON Officer 919-389-4104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-07-08 |
| Last Update Date | 2026-07-08 |