Organization
SOUTHERN SUPPORT BEHAVIORAL HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE M PERSAUD (OWNER)
(252) 642-5345
Entity
Organization
Contact information
Practice address
300 N MAIN ST STE 205, FRANKLIN, VA 23851-1756
(252) 642-5345
Mailing address
PO BOX 134, COLERAIN, NC 27924-0134
(252) 642-5345
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/12/2017
Last updated
04/06/2026
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