| NPI | 1972871036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA BAZEMORE Executive Director 919-747-9172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |