| NPI | 1699310433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY BAINE Clinical Director And Therapist 919-880-4078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2021-01-28 |