Organization
KA ROOTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA WALSTON (OWNER)
(718) 650-1218
Entity
Organization
Contact information
Practice address
112 VALENTINE CT, SALISBURY, NC 28147-6557
(718) 650-1218
Mailing address
112 VALENTINE CT, SALISBURY, NC 28147-6557
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/31/2025
Last updated
06/07/2025
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