Organization
COMMUNITY INNOVATIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDY ANDERSON (OWNER/CEO)
(910) 739-8849
Entity
Organization
Contact information
Practice address
704 PROGRESS PL, STE B, LAURINBURG, NC 28352-5545
(910) 277-3212
(910) 277-3214
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300959B
—
NC
Enumeration date
10/11/2006
Last updated
10/21/2011
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