Organization
I INNOVATIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONJA MCLEAN REID (OWNER)
(910) 723-0532
Entity
Organization
Contact information
Practice address
317 W MAIN ST, SANFORD, NC 27332-5943
(919) 292-2892
Mailing address
PO BOX 1553, SANFORD, NC 27331-1553
(910) 723-0532
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
311ZA0620X
Adult Care Home Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418880
—
NC
05
—
7806258
—
NC
Enumeration date
02/06/2007
Last updated
06/13/2023
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