| NPI | 1487205647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELVA DOUGLAS Owner 919-633-9403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP1600X Counselor, Pastoral | |
| 101YS0200X Counselor, School | |
| 103K00000X Behavior Analyst | |
| 104100000X Social Worker | |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |