Organization
INDIVIDUALIZED TREATMENT SOLUTION, LLC
Active
Other names
Woodard Adult Day Care Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON WOODARD CRAWFORD A00002374 (ADMINSTRATOR)
(910) 393-9409
Entity
Organization
Contact information
Practice address
115 HOLDEN BEACH RD SW, SHALLOTTE, NC 28470-1787
(910) 393-9409
Mailing address
1747 GRISSETT RD SW, SUPPLY, NC 28462-3070
(910) 393-9409
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
347B00000X
Bus
—
—
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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