| NPI | 1710685623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA NEWTON Member 919-269-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |