| NPI | 1730629320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC Q MIZELLE Owner 919-561-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 2008-01971) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |