Provider Demographics
NPI:1578934345
Name:COMMUNITY INTEGRATED SERVICES, INC
Entity Type:Organization
Organization Name:COMMUNITY INTEGRATED SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LOUANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-224-0044
Mailing Address - Street 1:64B OLD SUNCOOK RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-7317
Mailing Address - Country:US
Mailing Address - Phone:603-224-0044
Mailing Address - Fax:603-225-1175
Practice Address - Street 1:250 COMMERCIAL ST
Practice Address - Street 2:SUITE 1002
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1142
Practice Address - Country:US
Practice Address - Phone:800-553-0549
Practice Address - Fax:866-516-0327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-19
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health