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COMMUNITY INTERVENTION CENTER INC NPI 1518184027


NPI Information

NPI: 1518184027
Provider Name: COMMUNITY INTERVENTION CENTER, INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
605 LYNNDALE CT STE A
GREENVILLE, NC
ZIP 27858
Phone: (252) 321-7710
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COMMUNITY INTERVENTION CENTER, INC is a community behavioral health in Greenville, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. COMMUNITY INTERVENTION CENTER, INC NPI is 1518184027. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

605 LYNNDALE CT STE A
GREENVILLE, NC
ZIP 27858-449
Phone: (252) 321-7710
Fax: (252) 317-0516

The provider's authorized official is Vickie Gorham Phillips .
The authorized official title is Ceo President and has the following contact phone number (252) 321-7710.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 8/23/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalNORTH CAROLINANo
2106H00000XMarriage & Family TherapistNORTH CAROLINANo
3251S00000XCommunity/Behavioral HealthNORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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