Organization
CLEVELAND COMMUNITY & HOME SUPPORT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN EARWOOD BECK QDDP QMHP (SUPERVISOR)
(704) 471-9755
Entity
Organization
Contact information
Practice address
222 N LAFAYETTE ST STE 2, SHELBY, NC 28150-4450
(704) 471-9755
(704) 480-7040
Mailing address
222 N LAFAYETTE ST STE 2, SHELBY, NC 28150-4450
(704) 471-9755
(704) 480-7040
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178566980
—
NC
05
—
238253841
—
NC
05
—
241179903
—
NC
05
—
245259258
—
NC
05
—
246294416
—
NC
05
—
900156398
—
NC
05
—
900346612
—
NC
05
—
900462874
—
NC
05
—
901245831
—
NC
05
—
901258781
—
NC
05
—
901259666
—
NC
05
—
901259978
—
NC
05
—
901263289
—
NC
05
—
901273064
—
NC
05
—
946025281
—
NC
05
—
946667101
—
NC
05
—
946851910
—
NC
05
—
947067591
—
NC
05
—
947956146
—
NC
05
—
948100274
—
NC
Enumeration date
02/09/2007
Last updated
04/09/2013
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