Healthcare Provider Details

I. General information

NPI: 1811822273
Provider Name (Legal Business Name): CAROLINA EASTERN SUPPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CEDAR LN
WASHINGTON NC
27889-8902
US

IV. Provider business mailing address

400 CEDAR LN
WASHINGTON NC
27889-8902
US

V. Phone/Fax

Practice location:
  • Phone: 252-275-1599
  • Fax:
Mailing address:
  • Phone: 252-275-1599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHUNYOUNG RAZOR
Title or Position: OWNER/EXECUTIVE DIRECTOR
Credential:
Phone: 252-275-1599