| NPI | 1912175514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE VINSON Licensed Professional Counselor 919-274-1187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 5248) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-05-21 |