| NPI | 1962568469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHADA JONES Therapist 919-633-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 5203) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |