| NPI | 1871060160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ANDREW DELMEDICO Member/Manager 919-623-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |