| Community Support Specialists | |
|
1316 S 16th St Wilmington NC 28401-6422 | |
| (910) 763-3644 | |
| (910) 763-3634 |
| Full Name | Community Support Specialists |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1316 S 16th St, Wilmington, North Carolina |
| Authorized Official Name and Position | Annie Della Kenion (DIRECTOR) |
| Authorized Official Contact | 9107633644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Support Specialists 1316 S 16th St Wilmington NC 28401-6422 Ph: (910) 763-3644 | Community Support Specialists 1316 S 16th St Wilmington NC 28401-6422 Ph: (910) 763-3644 |
| NPI Number | 1669644902 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 05/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669644902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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