| Community Innovations | |
|
704 Progress Place Suite B Laurinburg NC 28352-5545 | |
| (910) 277-3212 | |
| Not Available |
| Full Name | Community Innovations |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 704 Progress Place, Laurinburg, North Carolina |
| Authorized Official Name and Position | Andy Anderson (PRESIDENT) |
| Authorized Official Contact | 9106425697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Innovations 3210 Fairhill Dr Raleigh NC 27612-3220 Ph: (919) 256-0824 | Community Innovations 704 Progress Place Suite B Laurinburg NC 28352-5545 Ph: (910) 277-3212 |
| NPI Number | 1154532596 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154532596 | NPI | - | NPPES |
| 5906100 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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