| NPI | 1558554675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOWANNA BRINKLEY Office Manager 919-957-7357 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist (Licence: NC 2606) | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2022-09-12 |