| NPI | 1346725231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG MADISON TOOMBS Licensed Provider 252-916-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2022-05-10 |