Organization
CLEVELAND INTERVENTION AND SUPPORT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRANDY MICHELLE WILEY (OWNER/EXECUTIVE DIRECTOR)
(704) 473-2436
Entity
Organization
Contact information
Practice address
614 CHERRYVILLE RD, SHELBY, NC 28150-3623
(704) 473-2436
Mailing address
PO BOX 1344, SHELBY, NC 28151-1344
(704) 473-2436
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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