Organization Name: | ROBERT G CRUMMIE |
NPI Number: | 1033161211 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BOB G CRUMMIE (OWNER) |
Mailing Address: | 236 Charlotte Rd Rutherfordton |
State: | NC US |
Postal Code: | 281392914 |
Phone Number: | 8282878861 |
Fax Number: | 8282878862 |
NPI Enumeration Date: | 05/16/2006 |
NPI Last Update Date: | 06/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |