| NPI | 1982970331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVEN NEAL Mental Health Therapist 919-426-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C007264) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |