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Organization
SUPPORT INCORPORATED
Active
Organization
SUPPORT INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MEAD (REIMBURSEMENT/CONTRACT MANAGER)
(704) 865-3529
Entity
Organization
Contact information
Practice address
2110 MAIN AVE SE STE WEST, HICKORY, NC 28602-1405
(704) 865-3529
(704) 867-0638
Mailing address
PO BOX 4003, GASTONIA, NC 28054-0041
(704) 865-3529
(704) 867-0638
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-018-095
NC
Other
Enumeration date
03/20/2014
Last updated
07/21/2022
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