| NPI | 1437592771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL GLENN Director 919-889-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 101YM0800X Counselor, Mental Health | |
| 251S00000X | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-17 |