Organization
CENTRAL COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GILBERT M.S. (EXECUTIVE DIRECTOR)
(919) 691-1093
Entity
Organization
Contact information
Practice address
101 INDUSTRIAL DR, LOUISBURG, NC 27549-2375
(919) 496-3958
(919) 693-4930
Mailing address
PO BOX 2113, OXFORD, NC 27565-4113
(252) 430-6633
(919) 693-4930
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301258
—
NC
Enumeration date
03/07/2007
Last updated
08/06/2013
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