| NPI | 1568495554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA K LEEDS Clinical Social Worker 919-389-9952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC C005097) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-01-29 |