| NPI | 1578298774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZEAN KING Owner 919-443-5697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2023-08-11 |