Provider Demographics
NPI:1366678898
Name:C H COMMUNITY SERVICES INC
Entity Type:Organization
Organization Name:C H COMMUNITY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:E
Authorized Official - Last Name:HINTON
Authorized Official - Suffix:
Authorized Official - Credentials:BS,CSAC,CM,QP
Authorized Official - Phone:919-452-5515
Mailing Address - Street 1:PO BOX 15118
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-0118
Mailing Address - Country:US
Mailing Address - Phone:919-452-5515
Mailing Address - Fax:
Practice Address - Street 1:214 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-2404
Practice Address - Country:US
Practice Address - Phone:919-683-5306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health