| Community Innovations, Inc | |
|
3210 Fairhill Dr Raleigh NC 27612-3215 | |
| (919) 256-0824 | |
| (919) 256-0833 |
| Full Name | Community Innovations, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3210 Fairhill Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Harold E Jones (SENIOR VP) |
| 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 3210 Fairhill Dr Raleigh NC 27612-3215 Ph: (919) 256-0824 |
| NPI Number | 1760782874 |
|---|---|
| Provider Enumeration Date | 10/25/2010 |
| Last Update Date | 02/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760782874 | NPI | - | NPPES |
| 5916515 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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