| NPI | 1477739050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON BRONWYN FORD Member Manager 919-636-5210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 3292) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2010-06-04 |