| NPI | 1578939740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARE ANDREA STADLEN Licensed Psychotherapist 919-602-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C003990) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 7485) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |