Organization
COMMUNITY SUPPORT PROFESSIONALS,LLC
Active
Other names
Targeted Case Managment: TCM-MH/SA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES CREECH (C.E.O.)
(910) 799-4505
Entity
Organization
Contact information
Practice address
1606 WELLINGTON AVE UNIT C, COMMUNITY SUPPORT PROFESSIONALS,LLC, WILMINGTON, NC 28401-7704
(910) 799-4505
(910) 799-4345
Mailing address
1606 WELLINGTON AVE UNIT C, COMMUNITY SUPPORT PROFESSIONALS,LLC, WILMINGTON, NC 28401-7704
(910) 799-4505
(910) 799-4345
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3410026
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3410026
—
NC
Enumeration date
01/12/2011
Last updated
01/12/2011
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