| NPI | 1538653514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA PEOPLES Owner 919-649-3952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2022-08-22 |