Organization
SUPREME HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JADA PARKS (OWNER)
(908) 875-5726
Entity
Organization
Contact information
Practice address
150 BW THOMAS DR, FORT MILL, SC 29708-7230
(908) 875-5726
Mailing address
2903 FAIRGLEN RD, CHARLOTTE, NC 28269-5410
(908) 875-5726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
About Stedi
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