Provider Demographics
NPI:1750915914
Name:GLOBAL RESOURCES AND SUPPORTS
Entity type:Organization
Organization Name:GLOBAL RESOURCES AND SUPPORTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:ALISON
Authorized Official - Last Name:HEADLEY COPPIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-813-9800
Mailing Address - Street 1:2879 SAINT ROSE PKWY STE 130
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4808
Mailing Address - Country:US
Mailing Address - Phone:725-867-3338
Mailing Address - Fax:
Practice Address - Street 1:2879 SAINT ROSE PKWY STE 130
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4808
Practice Address - Country:US
Practice Address - Phone:725-867-3338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities