| NPI | 1629044250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCH IVEY President Professional Data Managme 919-751-9120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2009-08-31 |