| NPI | 1780306936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBA ROYSTER CEO 919-500-3464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-09-14 |