| NPI | 1508171216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM REID Co Director 919-251-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 3410049) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2021-07-14 |