| NPI | 1861173486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISETTE MCKENZIE Owner 919-968-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2024-02-09 |