| NPI | 1538628490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTINY NICOLE BAUER Licensed Professional Counselor 919-763-5258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-08-21 |