| NPI | 1922315258 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ELIZABETH MARIE POLOMIK Therapist 919-602-8572  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 5135)  | 
| Enumeration Date | 2010-09-08 | 
| Last Update Date | 2010-09-08 |