Into the Wild, Inc.
NPI #1023775541 in Lewisville, North Carolina
Provider Information
- NPI Number
- 1023775541
- Entity Type
- Organization
- Organization Name
- Into the Wild, Inc.
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Nov 18, 2021
- Last Updated
- Nov 18, 2021
Practice Location
- Address
- 5765 SHALLOWFORD RD
- City
- Lewisville
- State
- North Carolina
- ZIP Code
- 27023-9610
- Phone
- (336) 314-0051
Authorized Official
- Name
- DR. MAX GOELLING, PHD
- Title
- CFO
- Phone
- (336) 314-0051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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|---|---|
| DR. Shawn Arango Ricks, PH.D.,LCAS-A | |
| Kervins Clement, LCMHCAS | |
| MR. Antoine J Charles, LCAS | |
| MS. Wanda Teresa Parker, MS, LCAS |
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