| Organization Name: | INDIVIDUALIZED TREATMENT SOLUTION, LLC |
| NPI Number: | 1194179432 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHARON WOODARD CRAWFORD (ADMINSTRATOR) |
| Mailing Address: | 115 Holden Beach Rd Sw Shallotte |
| State: | NC US |
| Postal Code: | 284701787 |
| Phone Number: | 9103939409 |
| Fax Number: | |
| NPI Enumeration Date: | 04/22/2016 |
| NPI Last Update Date: | 04/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 347B00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Bus |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A public or private organization or business licensed to provide bus services. |