Organization
HABILITATIVE SUPPORT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO LAMAR CALDWELL (CHAIRMAN AND CEO)
(336) 577-2239
Entity
Organization
Contact information
Practice address
3985 VALLEY CT APT D, WINSTON SALEM, NC 27106-4397
(336) 577-2239
Mailing address
3985 VALLEY CT APT D, WINSTON SALEM, NC 27106-4397
(336) 577-2239
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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