Provider Demographics
NPI:1972628709
Name:CAROLINA COMMUNITY AND FAMILY SERVICES
Entity type:Organization
Organization Name:CAROLINA COMMUNITY AND FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:ADAMS MANGUM
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:919-682-4444
Mailing Address - Street 1:2919 FAYETTEVILLE ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-4133
Mailing Address - Country:US
Mailing Address - Phone:919-682-4444
Mailing Address - Fax:919-682-3333
Practice Address - Street 1:2919 FAYETTEVILLE ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-4133
Practice Address - Country:US
Practice Address - Phone:919-682-4444
Practice Address - Fax:919-682-3333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered251S00000XAgenciesCommunity/Behavioral Health