Organization
SUPPORTIVE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHENISE JONES (CEO)
(919) 931-1325
Entity
Organization
Contact information
Practice address
2825 S CRATER RD, UNIT C, PETERSBURG, VA 23805-2473
(919) 931-1325
Mailing address
2825 S CRATER RD, UNIT C, PETERSBURG, VA 23805-2473
(919) 931-1325
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
07193048
VA
Other
Enumeration date
03/08/2010
Last updated
05/04/2012
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