# SUPPORTIVE LIVING SOLUTIONS CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427906270
- **Authorized official:** TYRONE GLENN MEJIAS (PRESIDENT)
- **Authorized official phone:** (252) 274-9009

## Contact information

- **Practice address:** 1001 WALNUT ST W, WILSON, NC 27893-3027
- **Practice address phone:** (252) 274-9009
- **Mailing address:** 1001 WALNUT ST W, WILSON, NC 27893-3027
- **Mailing address phone:** (252) 274-9009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | — | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 03/18/2026
- **Last updated:** 07/30/2026