| Cleveland Intervention And Support Services, Inc | |
|
614 Cherryville Rd Shelby NC 28150-3623 | |
| (704) 473-2436 | |
| Not Available |
| Full Name | Cleveland Intervention And Support Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 614 Cherryville Rd, Shelby, North Carolina |
| Authorized Official Name and Position | Brandy Michelle Wiley (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7044732436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleveland Intervention And Support Services, Inc Po Box 1344 Shelby NC 28151-1344 Ph: (704) 473-2436 | Cleveland Intervention And Support Services, Inc 614 Cherryville Rd Shelby NC 28150-3623 Ph: (704) 473-2436 |
| NPI Number | 1952668857 |
|---|---|
| Provider Enumeration Date | 04/16/2012 |
| Last Update Date | 04/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952668857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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