| NPI | 1023340213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY WAYNE CRIBB President/Owner 910-640-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 207QA0000X Family Medicine, Adolescent Medicine | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |