| Child & Family Support Services, Llc | |
|
2921 Gross Ave Wake Forest NC 27587-6496 | |
| (954) 257-7394 | |
| (919) 400-4210 |
| Full Name | Child & Family Support Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2921 Gross Ave, Wake Forest, North Carolina |
| Authorized Official Name and Position | Anse Daniel (CEO) |
| Authorized Official Contact | 9542577394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child & Family Support Services, Llc 3300 Onyx Rd Miramar FL 33025-2821 Ph: (954) 257-7394 | Child & Family Support Services, Llc 2921 Gross Ave Wake Forest NC 27587-6496 Ph: (954) 257-7394 |
| NPI Number | 1104185115 |
|---|---|
| Provider Enumeration Date | 05/10/2012 |
| Last Update Date | 05/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104185115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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