Organization
SOUTHERN SUPPORT BEHAVIORAL HEALTH CARE LLC
Active
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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