Organization
CAROLINA SUPPORT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE ANN GRANT (QM/TRAINING DIRECTOR)
(252) 399-4530
Entity
Organization
Contact information
Practice address
200 S POLLOCK ST, SELMA, NC 27576-3062
(919) 965-6770
Mailing address
200 S POLLOCK ST, SELMA, NC 27576-3062
(919) 965-6770
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8303206
—
NC
Enumeration date
03/10/2011
Last updated
03/10/2011
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