Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Health |
261QC1500X | |||
Case Management |
251B00000X | |||
Community/Behavioral Health |
251S00000X | |||
Early Intervention Provider Agency |
252Y00000X | |||
Public Health, State or Local |
261QP0905X | |||
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] |
| NPI # | 1194582502 |
| LBN Legal business name | UNITED SUPPORT SERVICES |
| Authorized official | JOHN NATHAN - (MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/01/2024 |
| Last updated | 03/01/2024 - About 2 years ago |
| Identifiers | n/a |
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