| NPI | 1508530015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRYSHA MAZZOLA Owner / Therapist 919-904-8945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-07 |
| Last Update Date | 2021-08-07 |