Community Innovations, INC
Psychiatry & Neurology, Psychiatry in Raleigh, NC. Organization (NPI-2).
NPI number1760782874
StatusActive
Last updated in NPPESFeb 4, 2013
Details
- NPI
- 1760782874
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Innovations, INC
- Organization subpart
- No
- Enumeration date
- Oct 25, 2010
- Last updated
- Feb 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
3210 Fairhill DrRaleigh, NC 27612-3215
Phone 919-256-0824 · Fax 919-256-0833
Mailing address
3210 Fairhill DrRaleigh, NC 27612-3215
Phone 919-256-0824 · Fax 919-256-0833
Authorized official
Harold E Jones
Senior Vp
9192560824
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