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CIRCLE OF COURAGE ULTIMATE SUPPORT NETWORK LLC NPI 1538463930


NPI Information

NPI: 1538463930
Provider Name: CIRCLE OF COURAGE ULTIMATE SUPPORT NETWORK, LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
3137 WRIGHTSVILLE AVE
WILMINGTON, NC
ZIP 28403
Phone: (910) 338-0001
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CIRCLE OF COURAGE ULTIMATE SUPPORT NETWORK, LLC is a community behavioral health in Wilmington, 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. CIRCLE OF COURAGE ULTIMATE SUPPORT NETWORK, LLC NPI is 1538463930. The provider is registered as an organization entity type.

The provider's business location address is:

3137 WRIGHTSVILLE AVE
WILMINGTON, NC
ZIP 28403-111
Phone: (910) 338-0001
Fax: (910) 341-7220

The provider's authorized official is Katrina Grady .
The authorized official title is Owner and has the following contact phone number (910) 262-3156.

The enumeration date for this NPI number is 12/29/2010 and was last updated on 12/29/2010.


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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