| NPI | 1447867999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANICE STEPHENSON Mental Health/Substance Use Counsel 919-418-1613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |