| NPI | 1760860969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHEEDE HICKS Therapist 919-710-9841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 8233) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |