| NPI | 1558859264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA SUMTER Clinical Director 919-855-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2019-03-28 |