| NPI | 1639738073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA HOLLAND-KORNEGAY Owner/Clinical Director 919-601-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |