NPI 1003643677
Classified Group LTD
Practice location
- Address
- 520 Lake Holding St, Wake Forest, NC 27587-6856
- Phone
- (786) 412-1514
Authorised official
- Name
- Kevin Wolfe
- Title
- President
- Phone
- (786) 412-1514
Registered specialties (4)
Substance Abuse Rehabilitation Facility
Primary
Substance Use Disorder Rehabilitation Clinic/Center
Substance Use Disorder Rehabilitation Hospital Unit
Children's Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1003643677
- Entity type
- Organization
- NPI issued
- 17 Sep 2024
- Record last updated
- 17 Sep 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.