Central Community Services LLC

Organization Active NPI Case Management Agency · Louisburg, NC

NPI 1700917598 · NPPES record last updated Aug 6, 2013

Key facts

NPI
1700917598
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
Legal business name
CENTRAL COMMUNITY SERVICES LLC
Practice address
101 Industrial Dr
Louisburg, NC 27549-2375
Phone
(919) 496-3958
Fax
(919) 693-4930
NPI assigned
Mar 7, 2007
Organization subpart
No

Authorized official

Name
Lisa Gilbert, M.S.
Title
Executive Director
Phone
(919) 691-1093

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Central Community Services LLC (6 organizations share this tax ID)

Locations

101 Industrial Dr
Louisburg, NC 27549
Phone (877) 258-4795

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Yes
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

101 Industrial Dr
Louisburg, NC 27549-2375

Mailing address

PO Box 2113
Oxford, NC 27565-4113
Phone (252) 430-6633

Other identifiers

IdentifierTypeStateIssuer
8301258MedicaidNC

Other providers in Louisburg, NC

All providers in Louisburg, NC · Case Management Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.