Healthcare Provider Details

I. General information

NPI: 1841637261
Provider Name (Legal Business Name): COMMUNITY WORKFORCE SOLUTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2013
Last Update Date: 05/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 S GARNETT ST
HENDERSON NC
27536-4509
US

IV. Provider business mailing address

602 S GARNETT ST
HENDERSON NC
27536-4509
US

V. Phone/Fax

Practice location:
  • Phone: 252-492-9555
  • Fax: 252-492-6167
Mailing address:
  • Phone: 252-492-9555
  • Fax: 252-492-6167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number091-003
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number091-003
License Number StateNC

VIII. Authorized Official

Name: MR. DALE ROGER MCGEE
Title or Position: PRESIDENT/EXECUTIVE DIRECTOR
Credential: MA
Phone: 919-231-3325