Southern Support
Organization Active NPI Community/Behavioral Health Agency · Gaston, NC
NPI 1982143848 · NPPES record last updated Feb 13, 2017
Key facts
- NPI
- 1982143848
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- SOUTHERN SUPPORT
- Practice address
- 480 River Rd
Gaston, NC 27832-9079 - Phone
- (252) 676-1750
- NPI assigned
- Feb 13, 2017
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jacqueline Harris Dickens
- Title
- Owner
- Phone
- (252) 676-1750
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
480 River Rd
Gaston, NC 27832-9079
Mailing address
480 River Rd
Gaston, NC 27832-9079
Phone (252) 676-1750
Other providers in Gaston, NC
- Shauna Latrice Lockhart-Eans
- Katelyn McFarland Miles
- Monica Renee Owens Ransom
- Rural Health Group, Inc.
- Rvhi,LLC
- Melinda S. Threlkeld
- Turning Point Care Services
- Vitaltiy Holistic Wellness LLC
- Alicia Shawnta Watson
All providers in Gaston, NC · Community/Behavioral Health Agency 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 Feb 13, 2017. 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.