Organization · Type 2 NPI

Superior Innovative Services II

Peer Specialist · Castle Hayne, NC

NPI number 1104762996 Active

Practice location

5000 Blue Clay Rd Ste D
Castle Hayne, NC 28429-6302

Mailing address

PO Box 308
Hampstead, NC 28443-0308

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Peer Specialist Primary 175T00000XNone listed
Home Health Agency 251E00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Home Delivered Meals 332U00000XNone listed
Non-emergency Medical Transport (VAN) 343900000XNone listed
Private Vehicle 347C00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1104762996

Superior Innovative Services II's National Provider Identifier is 1104762996, issued on Apr 25, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Castle Hayne, NC. The record was last updated on Apr 25, 2026.