Organization
SOUTHEAST SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWANA TORRENCE (CEO)
(336) 471-8130
Entity
Organization
Contact information
Practice address
139 ALTAMA CONNECTOR # 193, BRUNSWICK, GA 31525-1888
(336) 471-8130
Mailing address
PO BOX 4094, GREENSBORO, NC 27404-4094
(336) 471-8130
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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