Organization
UNITED FAMILY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHENAY COSTEN (EXECUTIVE DIRECTOR)
(252) 333-0500
Entity
Organization
Contact information
Practice address
103 BEAR GARDEN ROAD, WINFALL, NC 27985-0130
(252) 333-0500
(252) 465-4405
Mailing address
103 BEAR GARDEN ROAD, P. O. BOX 130, WINFALL, NC 27985-0130
(252) 333-0500
(252) 465-4405
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300043
—
NC
Enumeration date
03/12/2007
Last updated
05/05/2009
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