Organization
SUPPORT INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MEAD (REIMBURSEMENT/CONTRACT MANAGER)
(704) 865-3529
Entity
Organization
Contact information
Practice address
738 4TH ST SW, HICKORY, NC 28602-3401
(704) 865-3525
Mailing address
PO BOX 4003, GASTONIA, NC 28054-0041
(704) 865-3529
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
07/21/2022
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