NPI 1194179432
Individualized Treatment Solution, LLC
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
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.