Provider Demographics
NPI:1114106465
Name:WARRICK STEWART COMMUNITY RESOURCE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:WARRICK STEWART COMMUNITY RESOURCE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WARRICK
Authorized Official - Middle Name:TREMAYNE
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:919-528-3400
Mailing Address - Street 1:1555 NC HIGHWAY 56
Mailing Address - Street 2:
Mailing Address - City:CREEDMOOR
Mailing Address - State:NC
Mailing Address - Zip Code:27522-8296
Mailing Address - Country:US
Mailing Address - Phone:919-528-3400
Mailing Address - Fax:919-528-5746
Practice Address - Street 1:1555 NC HIGHWAY 56
Practice Address - Street 2:
Practice Address - City:CREEDMOOR
Practice Address - State:NC
Practice Address - Zip Code:27522-8296
Practice Address - Country:US
Practice Address - Phone:919-528-3400
Practice Address - Fax:919-528-5746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-02
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management