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Organization

CAROLINA SUPPORT SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN HESTER SPRUILL (EXECUTIVE DIRECTOR)
(252) 347-4244
Entity
Organization

Contact information

Practice address
925 CONFERENCE DR, D, GREENVILLE, NC 27858-5971
(252) 752-2002
(252) 754-2008
Mailing address
925 CONFERENCE DR, D, GREENVILLE, NC 27858-5971
(252) 752-2002
(252) 754-2008

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3410099
NC
05
6007483
NC
05
6007638
NC
05
8301743G
NC
05
8302932R
NC
05
8302964G
NC
05
8302964H
NC
05
8303093R
NC
05
8303095R
NC
05
8303206
NC
05
8303206H
NC
05
8303210
NC
05
8303210R
NC
05
8303247
NC
05
8303247H
NC
05
8303269
NC
05
8303269H
NC
05
8703101
NC
05
891286V
NC
Enumeration date
06/28/2010
Last updated
04/17/2014
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