Ka Roots LLC
Community/Behavioral Health in Salisbury, NC. Organization (NPI-2).
NPI number1023901725
StatusActive
Last updated in NPPESJun 7, 2025
Details
- NPI
- 1023901725
- Entity type
- Organization (NPI-2)
- Legal business name
- Ka Roots LLC
- Organization subpart
- No
- Enumeration date
- May 31, 2025
- Certification date
- Jun 7, 2025
- Last updated
- Jun 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
112 Valentine CtSalisbury, NC 28147-6557
Phone 718-650-1218
Mailing address
112 Valentine CtSalisbury, NC 28147-6557
Authorized official
Tara Walston
Owner
7186501218
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