Organization
JOSEPH COMMUNITY SUPPORT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARIA MCCOLLUM (OWNER)
(252) 520-2001
Entity
Organization
Contact information
Practice address
1501 N QUEEN ST, KINSTON, NC 28501-2944
(252) 520-2001
(252) 520-7556
Mailing address
1501 N QUEEN ST, KINSTON, NC 28501-2944
(252) 520-2001
(252) 520-7556
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/23/2007
Last updated
01/21/2009
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