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HABILITATIVE SUPPORT SERVICES INC. NPI 1902095235


NPI Information

NPI: 1902095235
Provider Name: HABILITATIVE SUPPORT SERVICES, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
3985 VALLEY CT APT D
WINSTON SALEM, NC
ZIP 27106
Phone: (336) 577-2239
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HABILITATIVE SUPPORT SERVICES, INC. is a community behavioral health in Winston Salem, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. HABILITATIVE SUPPORT SERVICES, INC. NPI is 1902095235. The provider is registered as an organization entity type.

The provider's business location address is:

3985 VALLEY CT APT D
WINSTON SALEM, NC
ZIP 27106-397
Phone: (336) 577-2239

The provider's authorized official is Antonio Lamar Caldwell .
The authorized official title is Chairman And Ceo and has the following contact phone number (336) 577-2239.

The enumeration date for this NPI number is 10/23/2007 and was last updated on 10/23/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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