| NPI | 1962845958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY PORTER Officer 919-522-2508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-30 |