Community Innovations, Inc.

NPI 1013047836 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1013047836
Enumeration Date 03/07/2007
Last Updated 04/29/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANDY ANDY
Position PRESIDENT CEO
Phone (910) 739-8849
Fax (910) 739-5167
Practice Location
2003 GODWIN AVE
SUITE A
LUMBERTON NC, 28358-3197, US
Phone (910) 739-8849
Fax (910) 739-5167
Business Location
3210 FAIRHILL DR
RALEIGH NC, 27612-3215, US
Phone (919) 256-0824
Fax (919) 256-0833
Toxanomy
Taxonomy Code 2084P0800X
License State
License Number
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According to our database, Community Innovations, Inc. NPI is 1013047836, taxonomy code is 2084P0800X Community Innovations, Inc. physically located at 2003 Godwin Ave, Lumberton NC, 28358-3197. NPI Number 1033115704 has the healthcare provider type.

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1013047836 NPI number is provided on an as is basis without warranty of any kind. 1013047836 is maintained by the National Plan & Provider Enumeration System. The contents of Community Innovations, Inc. are for informational purposes only.