Organization
CLASSIFIED GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN WOLFE (PRESIDENT)
(201) 780-3038
Entity
Organization
Contact information
Practice address
520 LAKE HOLDING ST, WAKE FOREST, NC 27587-6856
(201) 780-3038
Mailing address
520 LAKE HOLDING ST, WAKE FOREST, NC 27587-6856
(201) 780-3038
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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