| NPI | 1720277973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYNEKIA PERRY Member 919-544-3907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2022-07-21 |