NPI 1275677940

Community Specialized Services, INC.

Organisation Foster Care Agency Concord, NC

Practice location

Address: 15 Spencer Ave NW, Concord, NC 28025-4316
Phone: (704) 795-7600
Fax: (704) 795-7601
Mailing address: PO Box 1298, Concord, NC 28026-1298

Authorised official

Name: Wendy Ann Castle
Title: Executive Director
Phone: (704) 795-7600

Registered specialties (4)

Foster Care Agency Primary

Agencies Taxonomy 253J00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Emotionally Disturbed Childrens' Residential Treatment Facility

Residential Treatment Facilities Taxonomy 322D00000X Licence 125 (NC)

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Child Mental Illness Respite Care

Respite Care Facility Taxonomy 385HR2055X

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Registry record

NPI: 1275677940
Entity type: Organization
NPI issued: 16 Feb 2007
Record last updated: 22 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.