| Organization Name: | CAROLINA SUPPORT SERVICES, INC. |
| NPI Number: | 1912084161 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN HESTER SPRUILL (EXECUTIVE DIRECTOR) |
| Mailing Address: | 925d Conference Dr Greenville |
| State: | NC US |
| Postal Code: | 278585971 |
| Phone Number: | 2527522002 |
| Fax Number: | 2527542008 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 01/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 320800000X |
| License Number: | MHL074170 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |