| NPI | 1942261714 |
|---|---|
| Doing Business As | COMMUNITY INTERVENTION SERVICES AGENCY |
| Entity Type | Organization |
| Authorized Contact | C. THOMAS JOHNSON V.P. Finance 910-671-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NC H0064) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2008-07-08 |