| NPI | 1881954733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRICE RICHARDSON Managing Partner 919-697-6957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |