| NPI | 1932675097 |
|---|---|
| Former Name | JAMES ROBERT COX |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP60390166) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |