| NPI | 1568239259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENUS E. ALLEN Counselor 919-807-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |