| Community Care Support Services Inc | |
|
2365 Taylor Pointe Way Dacula GA 30019-6930 | |
| (910) 779-7800 | |
| Not Available |
| Full Name | Community Care Support Services Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2365 Taylor Pointe Way, Dacula, Georgia |
| Authorized Official Name and Position | Brandon L Hall (OWNER) |
| Authorized Official Contact | 9107797800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Support Services Inc 517 S Norwood St Wallace NC 28466-1619 Ph: (910) 779-7800 | Community Care Support Services Inc 2365 Taylor Pointe Way Dacula GA 30019-6930 Ph: (910) 779-7800 |
| NPI Number | 1063302628 |
|---|---|
| Provider Enumeration Date | 07/07/2025 |
| Last Update Date | 07/07/2025 |
| Certification Date | 07/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063302628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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