| NPI | 1972256790 |
|---|---|
| Doing Business As | NORTHEAST SUPPORT COORDINATION SERVICES |
| Entity Type | Organization |
| Authorized Contact | BETTY DAIGGER Co Owner 904-387-2741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |