National Provider Identifier
Into The Wild, Inc.
Into The Wild, Inc. is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Lewisville, NC and a listed phone number of (336) 314-0051.
Source: public NPPES record, last updated November 18, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1023775541
- Provider Type
- Organization
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- November 18, 2021
- Last Updated
- November 18, 2021
Practice Location
- 5765 Shallowford RD
- Lewisville, NC 27023-9610
Phone: (336) 314-0051
Mailing Address
- PO Box 1291
- King, NC 27021-1291
Authorized Official
- Name
- Dr. Max Goelling
- Title
- Cfo
- Credentials
- PHD
- Phone
- (336) 314-0051
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Organization Overview
Into the Wild, Inc., operating as Into the Wild in Lewisville, North Carolina, is an addiction recovery organization focused on wilderness-based therapeutic programming. Its program combines outdoor activities, mindfulness, yoga, nutrition, and group reflection as part of a recovery model, and its intensive treatment format is described as a six-week program with continued year-round adventure programming available afterward. A local behavioral-health resource listing describes Into the Wild as an Adventure Recovery Intensive Outpatient program for women seeking recovery from drug or alcohol addiction.
Full Record
- NPI
- 1023775541
- Entity Type
- Organization
- Organization Name
- Into The Wild, Inc.
- Mailing Street Address
- PO Box 1291
- Mailing City
- King
- Mailing State
- NC
- Mailing ZIP Code
- 27021-1291
- Mailing Country
- US
- Mailing Phone
- (336) 314-0051
- Practice Street Address
- 5765 Shallowford RD
- Practice City
- Lewisville
- Practice State
- NC
- Practice ZIP Code
- 27023-9610
- Practice Country
- US
- Practice Phone
- (336) 314-0051
- Enumeration Date
- November 18, 2021
- Last Updated
- November 18, 2021
- Authorized Official Last Name
- Goelling
- Authorized Official First Name
- Max
- Authorized Official Title
- Cfo
- Authorized Official Phone
- (336) 314-0051
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- PHD
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- November 18, 2021
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)