Organization
KINSPIRE WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAURICE COUNCIL (CHIEF EXECUTIVE OFFICER)
(203) 997-5596
Entity
Organization
Contact information
Practice address
5217 FOX HUNT DR APT G, GREENSBORO, NC 27407-6355
(203) 997-5596
Mailing address
5217 FOX HUNT DR APT G, GREENSBORO, NC 27407-6355
(203) 997-5596
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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