| NPI | 1457176588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE GRAVES Licensed Clinical Social Worker 919-756-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-11-22 |
| Last Update Date | 2024-11-22 |