| NPI | 1487837787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYLON VONDWELL WHITLEY Director 919-649-4757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2009-01-22 |