Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Community Innovations, Inc

Organization Child & Adolescent Psychiatry Physician · NPI 1164798518

Community Innovations, Inc is a Child & Adolescent Psychiatry Physician in Bolivia, North Carolina. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3972 Business 17 E Ste C
Bolivia, NC 28422-9030
Phone: (910) 253-8700
Fax: (910) 253-8755
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X

Record details

NPI number1164798518
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Harold Jones — Sr. Vice President · (919) 256-0824
NPI enumeratedMarch 30, 2012
Last updated in NPPESOctober 8, 2012
Mailing address3210 Fairhill Dr, Raleigh, NC 27612-3215