Organization
COMMUNITY CARE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MYNEKIA PERRY (MEMBER)
(919) 544-3907
Entity
Organization
Contact information
Practice address
5842 FAYETTEVILLE RD STE 101, DURHAM, NC 27713-6294
(919) 544-3907
Mailing address
PO BOX 13368, DURHAM, NC 27709-3368
(919) 544-3907
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
101YM0800X
Mental Health Counselor
—
NC
1041C0700X
Clinical Social Worker
—
NC
106H00000X
Marriage & Family Therapist
—
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Enumeration date
10/23/2007
Last updated
07/21/2022
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