| NPI | 1720648082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADONNA CLARK Therapist 919-306-0809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103K00000X Behavior Analyst | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-08-21 |