Support Inc. | |
209 W 2nd Ave Gastonia NC 28052-4076 | |
(704) 865-3525 | |
(704) 865-3520 |
Full Name | Support Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 209 W 2nd Ave, Gastonia, North Carolina |
Authorized Official Name and Position | Mike Mcneal (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 7048653525 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Support Inc. Po Box 4003 Gastonia NC 28054-0020 Ph: (704) 865-3525 | Support Inc. 209 W 2nd Ave Gastonia NC 28052-4076 Ph: (704) 865-3525 |
NPI Number | 1265601439 |
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Provider Enumeration Date | 02/21/2008 |
Last Update Date | 10/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265601439 | NPI | - | NPPES |
8300032B | Medicaid | NC | |
8300032G | Medicaid | NC | |
8300032H | Medicaid | NC | |
8300032 | Medicaid | NC | |
8300032K | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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