| Direct Interventions Support Services Llc | |
|
211 Massachusettes Ave. North Wilkesboro NC 28659 | |
| (336) 262-4400 | |
| Not Available |
| Full Name | Direct Interventions Support Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 211 Massachusettes Ave., North Wilkesboro, North Carolina |
| Authorized Official Name and Position | Russell Johnson (PRESIDENT) |
| Authorized Official Contact | 3362624400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Direct Interventions Support Services Llc 211 Massachusettes Ave. North Wilkesboro NC 28659 Ph: () - | Direct Interventions Support Services Llc 211 Massachusettes Ave. North Wilkesboro NC 28659 Ph: (336) 262-4400 |
| NPI Number | 1538391727 |
|---|---|
| Provider Enumeration Date | 08/20/2009 |
| Last Update Date | 08/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538391727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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