Provider Demographics
NPI:1346487378
Name:COMMUNITY RESOURCE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:COMMUNITY RESOURCE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEP
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 1:813 S OAKLAND ST STE A
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-0474
Mailing Address - Country:US
Mailing Address - Phone:704-535-1911
Mailing Address - Fax:704-535-1911
Practice Address - Street 1:813 S OAKLAND ST STE A
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-0474
Practice Address - Country:US
Practice Address - Phone:704-535-1911
Practice Address - Fax:704-535-1911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-13
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health