Enhanced Support Services
NPI #1093231722 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1093231722
- Entity Type
- Organization
- Organization Name
- Enhanced Support Services
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Aug 15, 2017
- Last Updated
- Aug 15, 2017
Practice Location
- Address
- 2882 BOONES CREEK RD
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37615-4655
- Phone
- (423) 631-0336
Authorized Official
- Name
- LISA BANNER-POFF
- Title
- DIRECTOR
- Phone
- (423) 631-0336
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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