| NPI | 1912660069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LYNN BATTLE-FERGUSON Clinical Mental Health Counselor 919-451-0831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2021-10-15 |