| NPI | 1447390703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA G SULLIVAN Director Of Support Services 919-865-8772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-09-23 |