| Carolina Support Services, Inc | |
|
200 S Pollock St Selma NC 27576-3062 | |
| (919) 965-6770 | |
| Not Available |
| Full Name | Carolina Support Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 200 S Pollock St, Selma, North Carolina |
| Authorized Official Name and Position | Nicole Ann Grant (QM/TRAINING DIRECTOR) |
| Authorized Official Contact | 2523994530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Support Services, Inc 200 S Pollock St Selma NC 27576-3062 Ph: (919) 965-6770 | Carolina Support Services, Inc 200 S Pollock St Selma NC 27576-3062 Ph: (919) 965-6770 |
| NPI Number | 1376841668 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 03/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376841668 | NPI | - | NPPES |
| 8303206 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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