| NPI | 1427425214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL G. FOUNTAIN WOOTEN Licensed Professional Counselor 919-928-3611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7939) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |