| NPI | 1871249961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY REARDON Owner 919-578-3641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-02-27 |
| Last Update Date | 2022-02-27 |