Provider Demographics
NPI:1790197564
Name:COMMUNITY HELPS NETWORK
Entity Type:Organization
Organization Name:COMMUNITY HELPS NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BRANCH MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HANDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-321-1637
Mailing Address - Street 1:3724 SYCAMORE DAIRY RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-3495
Mailing Address - Country:US
Mailing Address - Phone:910-321-1637
Mailing Address - Fax:
Practice Address - Street 1:3724 SYCAMORE DAIRY RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-3495
Practice Address - Country:US
Practice Address - Phone:910-321-1637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP008677251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health