Whalio Doctors

NPI 1194179432

Individualized Treatment Solution, LLC

Organisation Adult Day Care Clinic/Center Shallotte, NC

Practice location

Address
115 Holden Beach Rd SW, Shallotte, NC 28470-1787
Phone
(910) 393-9409
Mailing address
1747 Grissett Rd SW, Supply, NC 28462-3070

Authorised official

Name
Sharon Woodard Crawford
Title
Adminstrator
Phone
(910) 393-9409

Registered specialties (2)

Adult Day Care Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QA0600X
Bus
Transportation Services Taxonomy 347B00000X

Registry record

NPI
1194179432
Entity type
Organization
NPI issued
22 Apr 2016
Record last updated
22 Apr 2016

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.