Organization
CAROLINA SUPPORT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN HESTER SPRUILL (EXECUTIVE DIRECTOR)
(252) 752-2002
Entity
Organization
Contact information
Practice address
925D CONFERENCE DR, GREENVILLE, NC 27858-5971
(252) 752-2002
(252) 754-2008
Mailing address
PO BOX 4236, GREENVILLE, NC 27836-2236
(252) 752-2002
(252) 754-2008
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL074170
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418550
—
NC
05
—
5914580
—
NC
05
—
6006720
—
NC
Enumeration date
11/01/2006
Last updated
01/24/2011
Update your record
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