| NPI | 1790327278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE CAMILLE BRAXTON Owner/Licensed Professional Counsel 919-961-0334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |