| NPI | 1790311207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE PORTER Owner 919-576-0084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2024-04-18 |