Superior Innovative Services, LLC

NPI #1164795530 in Hampstead, North Carolina

Provider Information

NPI Number
1164795530
Entity Type
Organization
Organization Name
Superior Innovative Services, LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 16, 2012
Last Updated
Feb 16, 2012

Practice Location

Address
15444 US HWY 17N
Address 2
BUILDING 24G
ZIP Code
28443
Phone
(910) 319-1605

Authorized Official

Name
MRS. MELISSA DAVIS, MSW, LCSW
Title
OWNER
Phone
(910) 319-1605

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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