Organization
COMMUNITY CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN VERWAYNE (OWNER)
(678) 524-2195
Entity
Organization
Contact information
Practice address
8401 UNIVERSITY EXEC PARK DR, SUITE 127, CHARLOTTE, NC 28262-3386
(404) 838-1550
Mailing address
882 MARTIN LUTHER KING JR DR SW STE B, ATLANTA, GA 30314-3606
(866) 502-0926
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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