Organization
INTEGRATIVE COMMUNTIY SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE MORGAN BA (EXECUTIVE DIRECTOR)
(336) 330-0023
Entity
Organization
Contact information
Practice address
220 NORTH MAIN STREET, ROXBORO, NC 27573-0849
(336) 330-0023
(336) 330-0028
Mailing address
PO BOX 849, ROXBORO, NC 27573-0849
(336) 330-0023
(336) 330-0028
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YA0400X
NC
251B00000X
Case Management Agency
Primary
251S00000X
NC
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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