| NPI | 1790152254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE CREASMAN MOWREY Counselor/Owner 919-977-0087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 7772) |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2021-04-06 |