Provider Demographics
NPI:1043522303
Name:INSPIRE COMMUNITY SERVICES INC
Entity Type:Organization
Organization Name:INSPIRE COMMUNITY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GROVER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BENTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:252-714-8788
Mailing Address - Street 1:3713 STILLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-9063
Mailing Address - Country:US
Mailing Address - Phone:252-714-8788
Mailing Address - Fax:
Practice Address - Street 1:2523 DRUID OAKS NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-3295
Practice Address - Country:US
Practice Address - Phone:252-714-8788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health