| NPI | 1427794825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRON SIMPSON Owner/Clinical Director 919-395-3158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2022-05-09 |