| NPI | 1780830992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GERARD COOGAN Owner 919-538-3458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 6563) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-10-02 |