| NPI | 1962231118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ELIZABETH POND Owner/Provider 919-900-0194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2024-07-27 |
| Last Update Date | 2024-08-12 |