Organization Name: | FAMILY FIRST SUPPORT CENTER INC |
NPI Number: | 1831237262 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOWARD CALHOUN (PRESIDENT) |
Mailing Address: | 110 Sw Center St Mount Olive |
State: | NC US |
Postal Code: | 283652124 |
Phone Number: | 9196353344 |
Fax Number: | 9196353388 |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 12/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |