| NPI | 1477026144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA ANNETTE POPE Mental Health Therapist 919-999-7457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2019-01-06 |
| Last Update Date | 2019-07-02 |