Provider Demographics
NPI:1396590782
Name:CARE SUPPORT COMMUNITY SERVICES INC.
Entity type:Organization
Organization Name:CARE SUPPORT COMMUNITY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELLISA
Authorized Official - Middle Name:
Authorized Official - Last Name:OWUSU ANSAH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:410-826-4345
Mailing Address - Street 1:PO BOX 577
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20718-0577
Mailing Address - Country:US
Mailing Address - Phone:410-826-4345
Mailing Address - Fax:877-214-5757
Practice Address - Street 1:3010 MITCHELLVILLE RD STE 104
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-6302
Practice Address - Country:US
Practice Address - Phone:410-826-4345
Practice Address - Fax:877-214-5757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health