Organization Name: | THERAPEUTIC SUPPORT SERVICES |
NPI Number: | 1023184629 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSH MARTIN (DIRECTOR OF OPERATIONS) |
Mailing Address: | 175 W Franklin Blvd Gastonia |
State: | NC US |
Postal Code: | 280524145 |
Phone Number: | 7048653529 |
Fax Number: | 7048653010 |
NPI Enumeration Date: | 11/27/2006 |
NPI Last Update Date: | 06/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |