Organization
EDWARDS COMMUNITY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MCCOLLUM (DIRECTOR)
(252) 747-4000
Entity
Organization
Contact information
Practice address
202 HART STREET, SNOW HILL, NC 28580
(252) 747-4000
Mailing address
202 HART STREET, SNOW HILL, NC 28580
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300899B
—
NC
05
—
8300899G
—
NC
05
—
8300899H
—
NC
Enumeration date
06/21/2007
Last updated
01/10/2008
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