Organization
COMMUNITY SUPPORT SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNIE DELLA KENION (DIRECTOR)
(910) 763-3644
Entity
Organization
Contact information
Practice address
1020 RANKIN ST, SUITE 412, WILMINGTON, NC 28401-3700
(910) 763-3644
(910) 763-3634
Mailing address
1020 RANKIN ST, SUITE 412, WILMINGTON, NC 28401-3700
(910) 763-3644
(910) 763-3634
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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