| NPI | 1588864482 |
|---|---|
| Doing Business As | COMMUNITY INTERVENTION SERVICES AGENCY |
| Entity Type | Organization |
| Authorized Contact | DAVID E GILBERT Chief Executive Officer 252-331-7731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 8300836) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |