Organization
JOSEPHS COM SUPPORT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARIA MCCOLLUM (PRESIDENT/OWNER)
(252) 520-2001
Entity
Organization
Contact information
Practice address
1501 N QUEEN ST, KINSTON, NC 28501-2944
(252) 520-2001
(252) 520-0024
Mailing address
1501 N QUEEN ST, KINSTON, NC 28501-2944
(252) 520-2001
(252) 520-0024
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302119
—
NC
Enumeration date
08/20/2007
Last updated
05/16/2016
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