Organization
CAROLINA SUPPORT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KAREN HESTER SPRUILL MS (EXECUTIVE DIRECTOR)
(252) 752-2002
Entity
Organization
Contact information
Practice address
925D CONFERENCE DR, GREENVILLE, NC 27858-5971
(252) 752-2002
(252) 754-2008
Mailing address
PO BOX 4236, GREENVILLE, NC 27836-2236
(252) 752-2002
(252) 754-2008
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL074170
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604079
—
NC
Enumeration date
05/15/2008
Last updated
05/15/2008
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