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Organization

SOUTHERN SUPPORT BEHAVIORAL HEALTH CARE LLC

Active
Parent organization
SOUTHERN SUPPORT BEHAVIORAL HEALTH CARE LLC
Other names
Select
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHERN SUPPORT BEHAVIORAL HEALTH CARE LLC
Authorized official
VICKIE M PERSAUD (OWNER)
(252) 642-5345
Entity
Organization

Contact information

Practice address
9840 MIDLOTHIAN TPKE STE J, NORTH CHESTERFIELD, VA 23235-4864
(252) 209-7896
(877) 225-6011
Mailing address
PO BOX 134, COLERAIN, NC 27924-0134

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
03/19/2024
Last updated
03/19/2024
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