| NPI | 1740634773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JASON LEACH Owner 919-819-6082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 9420) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2023-10-06 |