| NPI | 1043099757 |
|---|---|
| Doing Business As | JOLT SUPPORT SERVICES |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY NEAL Owner/Executive Director 336-995-1418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-09-22 |