| NPI | 1689918641 |
|---|---|
| Doing Business As | EZEKIEL WILSON |
| Entity Type | Organization |
| Authorized Contact | EZEKIEL WILSON Owner 919-961-1392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC MHL 092761) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |