Organization
COMMUNITY SUPPORT AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEVORIA KEATON BERRY (EXECUTIVE DIRECTOR)
(910) 655-0698
Entity
Organization
Contact information
Practice address
44 DREAM AVE, DELCO, NC 28436-8700
(910) 297-4230
(910) 297-4230
Mailing address
P.O BOX 465, DELCO, NC 28436-9221
(910) 655-0698
(910) 655-0611
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
10/16/2018
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