| NPI | 1912448671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS S ANDREWS Owner/Operator 919-214-0862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 225C00000X Rehabilitation Counselor | |
| 251S00000X | |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2022-07-01 |