| Superior Innovative Services, Llc | |
|
15444 Us Hwy 17n Building 24g Hampstead NC 28443 | |
| (910) 319-1605 | |
| Not Available |
| Full Name | Superior Innovative Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15444 Us Hwy 17n, Hampstead, North Carolina |
| Authorized Official Name and Position | Melissa Davis (OWNER) |
| Authorized Official Contact | 9103191605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Innovative Services, Llc 323 Hampstead Vlg Hampstead NC 28443-8277 Ph: (910) 319-1605 | Superior Innovative Services, Llc 15444 Us Hwy 17n Building 24g Hampstead NC 28443 Ph: (910) 319-1605 |
| NPI Number | 1164795530 |
|---|---|
| Provider Enumeration Date | 02/16/2012 |
| Last Update Date | 02/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164795530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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