Provider Demographics
NPI:1306412259
Name:I NEED A FRIEND RECOVERY
Entity type:Organization
Organization Name:I NEED A FRIEND RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WINDOLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SUBER
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:239-601-3974
Mailing Address - Street 1:610 MARIGOLD ST
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27801-5906
Mailing Address - Country:US
Mailing Address - Phone:239-601-3974
Mailing Address - Fax:
Practice Address - Street 1:610 MARIGOLD ST
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27801-5906
Practice Address - Country:US
Practice Address - Phone:239-601-3974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children