Organization
CENTRAL COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GILBERT (DIRECTOR)
(252) 430-6633
Entity
Organization
Contact information
Practice address
120 ORANGE ST, OXFORD, NC 27565-3249
(919) 692-1248
Mailing address
PO BOX 2113, OXFORD, NC 27565-4113
(919) 692-1248
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913873
—
NC
Enumeration date
07/07/2010
Last updated
07/07/2010
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