EDWARDS COMMUNITY SUPPORT SERVICES NPI 1720118300

NPI Information

NPI: 1720118300
Provider Name: EDWARDS COMMUNITY SUPPORT SERVICES
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
202 HART ST
SNOW HILL, NC
ZIP 28580
Phone: (252) 747-4000
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EDWARDS COMMUNITY SUPPORT SERVICES is a community based residential treatment facility mental illness in Snow Hill, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. EDWARDS COMMUNITY SUPPORT SERVICES NPI is 1720118300. The provider is registered as an organization entity type.

The provider's business location address is:

202 HART ST
SNOW HILL, NC
ZIP 28580-704
Phone: (252) 747-4000
Fax: (252) 747-2602

The provider's authorized official is Thomas Mccollum .
The authorized official title is Ceo and has the following contact phone number (252) 747-4000.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 1/10/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness			NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8300899	OTHER	NORTH CAROLINA	PROVIDER NUMBER

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

NPI Synchronization or Removal

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