| Community Innovations Inc | |
|
328 E 24th St Lumberton NC 28358-3102 | |
| (910) 737-6440 | |
| (910) 737-6499 |
| Full Name | Community Innovations Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 328 E 24th St, Lumberton, North Carolina |
| Authorized Official Name and Position | Andy Anderson (PRESIDENT) |
| Authorized Official Contact | 9107398849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Innovations Inc 3210 Fairhill Dr Raleigh NC 27612-3215 Ph: (919) 256-0824 | Community Innovations Inc 328 E 24th St Lumberton NC 28358-3102 Ph: (910) 737-6440 |
| NPI Number | 1477845873 |
|---|---|
| Provider Enumeration Date | 05/04/2011 |
| Last Update Date | 05/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477845873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL078270 (North Carolina) | Primary |
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