| Howell Support Services | |
|
106c Cinema Dr Wilmington NC 28403-1490 | |
| (910) 362-0833 | |
| (910) 362-0835 |
| Full Name | Howell Support Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 106c Cinema Dr, Wilmington, North Carolina |
| Authorized Official Name and Position | Jerald Howell (CEO) |
| Authorized Official Contact | 9197781506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Howell Support Services Po Box 10946 Goldsboro NC 27532-0946 Ph: (919) 778-1506 | Howell Support Services 106c Cinema Dr Wilmington NC 28403-1490 Ph: (910) 362-0833 |
| NPI Number | 1750432662 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750432662 | NPI | - | NPPES |
| 8301212 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-065-150 (North Carolina) | Primary |
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