| Support Incorporated | |
|
175 W Franklin Blvd Gastonia NC 28052-4145 | |
| (704) 865-3529 | |
| (704) 867-0638 |
| Full Name | Support Incorporated |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 175 W Franklin Blvd, Gastonia, North Carolina |
| Authorized Official Name and Position | Josh Martin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7048653529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Support Incorporated Po Box 4003 Gastonia NC 28054-0041 Ph: (704) 865-3529 | Support Incorporated 175 W Franklin Blvd Gastonia NC 28052-4145 Ph: (704) 865-3529 |
| NPI Number | 1831410505 |
|---|---|
| Provider Enumeration Date | 06/17/2010 |
| Last Update Date | 12/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831410505 | NPI | - | NPPES |
| 3418141 | Medicaid | NC | |
| 3410013 | Medicaid | NC | |
| 8300333 | Medicaid | NC | |
| 8703014 | Medicaid | NC | |
| 5900737 | Medicaid | NC | |
| 5900740 | Medicaid | NC | |
| 6005063 | Medicaid | NC | |
| 5918314 | Medicaid | NC | |
| 8300332 | Medicaid | NC | |
| 8300340 | Medicaid | NC | |
| 8303341 | Medicaid | NC |
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