Provider Demographics
NPI:1386974681
Name:COMMUNITIES IN ACTION, LLC
Entity type:Organization
Organization Name:COMMUNITIES IN ACTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:BAQP
Authorized Official - Phone:919-328-0318
Mailing Address - Street 1:260 PEACHTREE ST
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-1202
Mailing Address - Country:US
Mailing Address - Phone:404-527-6247
Mailing Address - Fax:404-527-6201
Practice Address - Street 1:260 PEACHTREE ST
Practice Address - Street 2:SUITE 2200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-1202
Practice Address - Country:US
Practice Address - Phone:404-527-6247
Practice Address - Fax:404-527-6201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253J00000XAgenciesFoster Care Agency