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Organization
SAGUARO GROUP LLC
Active
Organization
SAGUARO GROUP LLC
Active
Other names
Community Innovations, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD E JONES JR. (PRESIDENT)
(919) 256-0824
Entity
Organization
Contact information
Practice address
2800 BREEZEWOOD AVE, STE 100, FAYETTEVILLE, NC 28303-5282
(910) 483-8213
(910) 483-8214
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/12/2011
Last updated
07/18/2011
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