Organization
COMMUNITY INNOVATIONS, INC.
Active
Organization
COMMUNITY INNOVATIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD ERNEST JONES JR. (SR. VICE PRESIDENT)
(919) 256-0824
Entity
Organization
Contact information
Practice address
3972 BUSINESS 17 E, STE C, BOLIVIA, NC 28422-9030
(910) 253-8700
(910) 253-8755
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
03/30/2012
Last updated
10/08/2012
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