OrganizationActive
Classified Group Ltd
NPI 1003643677 · Substance Abuse Rehabilitation Facility · Wake Forest, NC
Provider details
- NPI number
- 1003643677
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kevin Wolfe, President(786) 412-1514
Specialties & taxonomies
Residential Treatment Facilities
Ambulatory Health Care Facilities
Hospital Units
Residential Treatment Facilities
Practice location
520 Lake Holding St
Wake Forest, NC 27587-6856
Phone: (786) 412-1514
Approximate (ZIP-level) locationGet directions
Mailing address
520 Lake Holding St
Wake Forest, NC 27587-6856
Registry dates
- Enumerated
- 2024-09-17
- Last updated
- 2024-09-17
- Certified
- 2024-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.