Organization
CAROLINA COMMUNITY SUPPORT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSWALD NWOGBO (CEO)
(919) 454-7725
Entity
Organization
Contact information
Practice address
4324 S ALSTON AVE STE 113, DURHAM, NC 27713-2696
(919) 682-5777
(919) 687-6975
Mailing address
4324 S ALSTON AVE STE 113, DURHAM, NC 27713-2696
(919) 682-5777
(919) 687-6975
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/22/2010
Last updated
01/25/2023
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