| NPI | 1952929747 |
|---|---|
| Doing Business As | PRISM WELLNESS |
| Entity Type | Organization |
| Authorized Contact | LESLEY KELLOGG Owner 919-418-1772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2022-12-19 |