Provider Demographics
NPI:1255746467
Name:COMMUNITY RESOURCE SOLUTIONS, LLC - SC
Entity type:Organization
Organization Name:COMMUNITY RESOURCE SOLUTIONS, LLC - SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAREN
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:704-460-2317
Mailing Address - Street 1:1566 UNION RD STE A
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-5301
Mailing Address - Country:US
Mailing Address - Phone:704-867-1212
Mailing Address - Fax:704-867-1220
Practice Address - Street 1:1566 UNION RD STE A
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-5301
Practice Address - Country:US
Practice Address - Phone:704-867-1212
Practice Address - Fax:704-867-1220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health