Provider Demographics
NPI:1114147295
Name:CRAVEN COUNTY DEPARTMENT OF SOCIAL SERVICES
Entity Type:Organization
Organization Name:CRAVEN COUNTY DEPARTMENT OF SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:G
Authorized Official - Last Name:FLOWERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:252-636-4900
Mailing Address - Street 1:2818 NEUSE BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-2839
Mailing Address - Country:US
Mailing Address - Phone:252-636-4900
Mailing Address - Fax:252-636-4946
Practice Address - Street 1:2818 NEUSE BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2839
Practice Address - Country:US
Practice Address - Phone:252-636-4900
Practice Address - Fax:252-636-4946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6600041Medicaid