| NPI | 1023340213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY WAYNE CRIBB President/Owner 910-640-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 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 | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |