| NPI | 1609337906 |
|---|---|
| Other Name | TIMOTHY WAYNE CASTRO CROY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB.0008498) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |