Organization
COMMUNITY CARE SUPPORT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON L HALL (OWNER)
(910) 779-7800
Entity
Organization
Contact information
Practice address
401 POST OFFICE RD STE 101, WALDORF, MD 20602-2738
(910) 779-7800
Mailing address
517 S NORWOOD ST, WALLACE, NC 28466-1619
(910) 779-7800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
12/01/2025
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