| NPI | 1891008405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER FORD KELLY Member/Manager/Counselor 919-345-8965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 5092) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2010-07-23 |