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Organization

COMMUNITY INNOVATIONS INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HAROLD E JONES JR. (SENIOR VP)
(919) 256-0824
Entity
Organization

Contact information

Practice address
209 MILLSTONE DR, STE B, HILLSBOROUGH, NC 27278-8776
(919) 245-1056
(919) 245-0147
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
NC

Other

Enumeration date
11/18/2010
Last updated
11/18/2010
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