Organization
CAPITAL COMMUNITY SUPPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUREA M STARKS (ADMINISTRATOR)
(910) 583-9955
Entity
Organization
Contact information
Practice address
130 N STEELE ST, SANFORD, NC 27330-3976
(919) 777-5300
(919) 777-5305
Mailing address
130 N STEELE ST, SANFORD, NC 27330-3976
(919) 777-5300
(919) 777-5305
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111111
—
NC
Enumeration date
01/12/2009
Last updated
01/12/2009
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