| NPI | 1578810099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | T-REX CRAWFORD Owner 919-222-1297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |