| NPI | 1558905869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA WOOLEY HICKMAN Outpatient Therapist 919-935-2925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |