| Family Preservation Services Of Nc, Inc. | |
|
941 W Andrews Ave Ste I Henderson NC 27536-2586 | |
| (252) 438-4740 | |
| Not Available |
| Full Name | Family Preservation Services Of Nc, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 941 W Andrews Ave Ste I, Henderson, North Carolina |
| Authorized Official Name and Position | Miranda Kaye Little (NC QI & TRAINING DIR) |
| Authorized Official Contact | 7043440491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Preservation Services Of Nc, Inc. Po Box 759194 Baltimore MD 21275-9194 Ph: (828) 225-3100 | Family Preservation Services Of Nc, Inc. 941 W Andrews Ave Ste I Henderson NC 27536-2586 Ph: (252) 438-4740 |
| NPI Number | 1194863043 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 02/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194863043 | NPI | - | NPPES |
| 8300262B | Medicaid | NC | |
| 8300262V | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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