| NPI | 1760201131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONE GARDNER Owner 919-438-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| 261QM2500X Clinic/Center Medical Specialty | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| 251S00000X Community/Behavioral Health | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center Community Health | |
| 261QH0100X Clinic/Center Health Service | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 251K00000X Public Health or Welfare | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 251B00000X Case Management | |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2025-05-01 |