| NPI | 1760250419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BARKSDALE Owner 919-802-2842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2024-04-12 |