| NPI | 1538727573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA L SPELLER Owner/Director 919-264-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2022-01-20 |