| NPI | 1487111779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEIMI AMPARO SANTANA General Manager 919-399-9114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X | |
| Enumeration Date | 2019-02-23 |
| Last Update Date | 2020-03-12 |