| NPI | 1508042003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVA MUSERALLO Director 919-781-8370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 103TC0700X Psychologist, Clinical | |
| 251V00000X Voluntary or Charitable | |
| 106H00000X Marriage & Family Therapist | |
| 104100000X Social Worker | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2026-04-22 |