Community Care Center Ind in Kinston - Community/behavioral Health
Community Care Center Ind - NPI 1043336985
Community Care Center Ind is a Community/behavioral Health in Kinston, North Carolina. Community Care Center Ind practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Community Care Center Ind is 1043336985. The last update date is 2020-08-22.
Community Care Center Ind's current location address is 110 S Queen St, Kinston, North Carolina. You can contact this provider via phone number 2522081928 and fax number 2525592055. The mailing address for Community Care Center Ind is 110 S Queen St, Kinston, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Care Center Ind |
|---|---|
| Address | 110 S Queen St, Kinston, North Carolina |
| Phone Number | 2522081928 |
| Fax Number | 2525592055 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mcmorris Arnold Esau |
| Credentials | QMHP |
| Telephone Number | 2522081928 |
NPI Number Detail
| NPI Number | 1043336985 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 110 S Queen St |
|---|---|
| City | Kinston |
| State | North Carolina (NC) |
| Post Code | 285014973 |
| Phone Number | 2522081928 |
| Fax Number | 2525592055 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 251S00000X |
|
Definition: 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 dis |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8301433 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Community Care Center Ind by the Centers for Medicare & Medicaid Services (CMS)?
The Community Care Center Ind has been assigned the NPI (National Provider Identifier) 1043336985. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Community Care Center Ind located?
The Community Care Center Ind is located at 110 S Queen St, Kinston, NC 285014973.
What is Community Care Center Ind's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Community Care Center Ind's specialized field of practice is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of specialization is 251S00000X.
When did the Community Care Center Ind receive its 1043336985?
The Community Care Center Ind was issued its 1043336985 on 2007-03-22, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Community Care Center Ind most recently updated or revised?
The information pertaining to Community Care Center Ind, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.