Healthcare Provider Details

I. General information

NPI: 1043132855
Provider Name (Legal Business Name): COMMUNITY ENHANCEMENT COLLABORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 RAUHUT ST
BURLINGTON NC
27217-1469
US

IV. Provider business mailing address

2456 SUNFIELD DR
GRAHAM NC
27253-9801
US

V. Phone/Fax

Practice location:
  • Phone: 919-621-0821
  • Fax: 336-753-3377
Mailing address:
  • Phone: 919-621-0821
  • Fax: 336-753-3377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHARSELLE BUCKNOR-SMARTT
Title or Position: CFO
Credential:
Phone: 919-621-0821