Provider Demographics
NPI:1508653932
Name:DEDICATED COMMUNITY SERVICES LLC
Entity type:Organization
Organization Name:DEDICATED COMMUNITY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TALKIA
Authorized Official - Middle Name:ABEID
Authorized Official - Last Name:TUMBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-343-8170
Mailing Address - Street 1:5500 ADAMS FARM LN STE 208A
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-7059
Mailing Address - Country:US
Mailing Address - Phone:336-528-5460
Mailing Address - Fax:336-739-3994
Practice Address - Street 1:5500 ADAMS FARM LN STE 208A
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-7059
Practice Address - Country:US
Practice Address - Phone:336-528-5460
Practice Address - Fax:336-739-3994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health