NPI 1306439393
Isupport Therapy LLC
Practice location
- Address
- 300 Liberty St W, York, SC 29745-1459
- Phone
- (716) 587-1754
Authorised official
- Name
- Michael Banks
- Title
- Ceo
- Phone
- (877) 636-8721
Registered specialties (2)
Community/Behavioral Health Agency
Primary
Mental Health Clinic/Center (Including Community Mental Health Center)
Registry record
- NPI
- 1306439393
- Entity type
- Organization
- NPI issued
- 19 Feb 2021
- Record last updated
- 19 Feb 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.