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Community Innovations, INC.

Community/Behavioral Health in Lumberton, NC. Organization (NPI-2).

NPI number1679780985
StatusActive
Last updated in NPPESAug 3, 2010

Details

NPI
1679780985
Entity type
Organization (NPI-2)
Legal business name
Community Innovations, INC.
Organization subpart
No
Enumeration date
May 17, 2007
Last updated
Aug 3, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health–NCYes
251B00000X Case Management––

Practice location

2003 Godwin Ave
Suite A
Lumberton, NC 28358-3197

Phone 910-739-8849 · Fax 910-739-5167

Mailing address

3210 Fairhill Dr
Raleigh, NC 27612-3215

Phone 919-256-0824 · Fax 919-256-0833

Authorized official

Harold E Jones
Sr. Vice President
9192560824

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