Organization
CENTRAL COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA A. GILBERT (EXECUTIVE DIRECTOR)
(919) 691-1093
Entity
Organization
Contact information
Practice address
107 INDUSTRIAL DR, SUITE B, LOUISBURG, NC 27549-2371
(919) 496-3958
Mailing address
PO BOX 2113, OXFORD, NC 27565-4113
(252) 430-6633
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006794
—
NC
Enumeration date
11/20/2009
Last updated
11/20/2009
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