Provider Demographics
NPI:1073798856
Name:COMMUNITY BASE SOLUTIONS
Entity Type:Organization
Organization Name:COMMUNITY BASE SOLUTIONS
Other - Org Name:CBS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/COODINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:REN'E
Authorized Official - Last Name:ROWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-398-5266
Mailing Address - Street 1:607 N WEBB ST
Mailing Address - Street 2:P O BOX 814
Mailing Address - City:SELMA
Mailing Address - State:NC
Mailing Address - Zip Code:27576-2659
Mailing Address - Country:US
Mailing Address - Phone:919-398-5266
Mailing Address - Fax:919-975-0339
Practice Address - Street 1:607 N WEBB ST
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:NC
Practice Address - Zip Code:27576-2659
Practice Address - Country:US
Practice Address - Phone:919-398-5266
Practice Address - Fax:919-975-0339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-30
Last Update Date:2007-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency