NPI | 1235676248 |
---|---|
Doing Business As | CREATIVE COMMUNITY OPTIONS |
Entity Type | Organization |
Authorized Contact | ANDREA BROADNAX Executive Director 910-286-7873 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: NC 2016-3437-01) |
Additional Taxonomies | 251V00000X Voluntary or Charitable |
347C00000X Private Vehicle | |
Enumeration Date | 2017-01-27 |
Last Update Date | 2017-01-27 |