| NPI | 1558100636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONIA JACOBS DEESE Owner, Director 919-619-7379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |