Provider Demographics
NPI:1205959194
Name:COMMUNITY CARE SERVICES, LLP
Entity type:Organization
Organization Name:COMMUNITY CARE SERVICES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JEROME
Authorized Official - Last Name:NIXON
Authorized Official - Suffix:SR
Authorized Official - Credentials:BBA
Authorized Official - Phone:610-272-2307
Mailing Address - Street 1:1811 WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3061
Mailing Address - Country:US
Mailing Address - Phone:610-272-2307
Mailing Address - Fax:610-272-1569
Practice Address - Street 1:1801 N TRYON ST
Practice Address - Street 2:SUITE 321
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28206-2793
Practice Address - Country:US
Practice Address - Phone:704-332-8786
Practice Address - Fax:704-332-8788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health