Organization · NPI-2
Community Specialized Services, INC.
Foster Care Agency · Concord, NC
NPI number1275677940
StatusActive
Last updated in NPPESMay 22, 2020
Details
- NPI
- 1275677940
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Specialized Services, INC.
- Organization subpart
- No
- Enumeration date
- Feb 16, 2007
- Certification date
- May 22, 2020
- Last updated
- May 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253J00000X | Foster Care Agency | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 125 | NC | |
| 385HR2055X | Respite Care, Respite Care, Mental Illness, Child | – | – |
Practice location
15 Spencer Ave NwConcord, NC 28025-4316
Phone 704-795-7600 · Fax 704-795-7601
Mailing address
Po Box 1298Concord, NC 28026-1298
Phone 704-795-7600 · Fax 704-795-7601
Authorized official
Wendy Ann Castle
Executive Director
7047957600
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