| NPI | 1972793990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED POTTER Administrator 919-465-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2008-04-24 |