| Community Innovations Inc. | |
|
2800 Breezewood Drive Ste 100 Fayetteville NC 28303-5282 | |
| (910) 483-8213 | |
| (910) 483-8214 |
| Full Name | Community Innovations Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2800 Breezewood Drive, Fayetteville, North Carolina |
| Authorized Official Name and Position | Harold E Jones (MEMBER MGS) |
| Authorized Official Contact | 9192560824 |
| 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. 2800 Breezewood Drive Ste 100 Fayetteville NC 28303-5282 Ph: (910) 483-8213 |
| NPI Number | 1609154509 |
|---|---|
| Provider Enumeration Date | 07/26/2011 |
| Last Update Date | 07/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609154509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (North Carolina) | Primary |
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