KD Support Services
Organization Active NPI Psychiatric Residential Treatment Facility · Forest City, NC
NPI 1255792016 · NPPES record last updated Mar 8, 2016
Key facts
- NPI
- 1255792016
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Residential Treatment Facility 323P00000X
- License
- MHL-081-113 (NC)
- Legal business name
- KD SUPPORT SERVICES
- Practice address
- 126 Pine St
Forest City, NC 28043-4587 - Phone
- (828) 245-2540
- Fax
- (828) 245-2540
- NPI assigned
- Mar 8, 2016
- Organization subpart
- No
Authorized official
- Name
- Kenneth Dellinger, BS;QP
- Title
- Director of Operations
- Phone
- (828) 245-4011
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- KD Support Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | MHL-081-113 | NC | Yes |
Addresses
Primary practice location
126 Pine St
Forest City, NC 28043-4587
Mailing address
158 US Highway 221a
Forest City, NC 28043-5600
Phone (828) 245-4011
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418462 | Medicaid | NC |
Other names
- Joyful Too
Other providers in Forest City, NC
- K D Support Services / Kelly'S Care
- K D Support Services / Kelly'S Care
- Lauren Lee Kahn
- Sini Joseph Kalapurakal
- Karing Counseling
- Patricia Maddox Keeter
- Kyle Judson Kenyon
- Jane D. Kirkpatrick
- Curtis Koone
- Matthew William Kramer
All providers in Forest City, NC · Psychiatric Residential Treatment Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.