| NPI | 1396229456 |
|---|---|
| Doing Business As | SUPPORTED SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DOUGLAS Director 800-691-2438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |