| NPI | 1952735383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KEY Owner 919-744-4089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006189) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1063) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |