| Support Incorporated | |
|
802 N Lafayette St Shelby NC 28150-3831 | |
| (704) 865-3525 | |
| Not Available |
| Full Name | Support Incorporated |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 802 N Lafayette St, Shelby, 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 28054-0020 Ph: (704) 865-3529 | Support Incorporated 802 N Lafayette St Shelby NC 28150-3831 Ph: (704) 865-3525 |
| NPI Number | 1871634378 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 03/16/2021 |
| Certification Date | 03/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871634378 | NPI | - | NPPES |
| 8300332 | Medicaid | NC | |
| 5900740 | Medicaid | NC |
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