Provider Demographics
NPI:1780840918
Name:COMMUNITY RESOURCE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:COMMUNITY RESOURCE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF EXECUTIVE OFFICER
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:704-535-1911
Mailing Address - Street 1:7512 E INDEPENDENCE BLVD
Mailing Address - Street 2:STE. 110
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-9412
Mailing Address - Country:US
Mailing Address - Phone:704-535-1911
Mailing Address - Fax:704-535-1923
Practice Address - Street 1:7512 E INDEPENDENCE BLVD
Practice Address - Street 2:STE. 110
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28227-9412
Practice Address - Country:US
Practice Address - Phone:704-535-1911
Practice Address - Fax:704-535-1923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health