Organization
COMMUNITY INNOVATIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDY ANDERSON (PRESIDENT)
(910) 739-8849
Entity
Organization
Contact information
Practice address
2209 CENTURY DR, SUITE 101, RALEIGH, NC 27612-3941
(919) 786-4944
(919) 786-4945
Mailing address
2003 GODWIN AVE, SUITE A, LUMBERTON, NC 28358-3197
(910) 739-8849
(910) 739-8698
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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