Organization
COMMUNITY INNOVATIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD E JONES JR. (SENIOR VP)
(919) 256-0824
Entity
Organization
Contact information
Practice address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5916515
—
NC
Enumeration date
10/25/2010
Last updated
02/04/2013
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