| Family Preservation Services Of Nc, Inc - Raleigh | |
|
3824 Barrett Dr Suite 200 Raleigh NC 27609-7220 | |
| (704) 344-0491 | |
| (704) 344-0493 |
| Full Name | Family Preservation Services Of Nc, Inc - Raleigh |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3824 Barrett Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Miranda Little (NC STATE QI & TRAINING DIRECTOR) |
| 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 - Raleigh Po Box 759194 Baltimore MD 21275-9194 Ph: (704) 344-0491 | Family Preservation Services Of Nc, Inc - Raleigh 3824 Barrett Dr Suite 200 Raleigh NC 27609-7220 Ph: (704) 344-0491 |
| NPI Number | 1417229246 |
|---|---|
| Provider Enumeration Date | 02/09/2012 |
| Last Update Date | 02/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417229246 | NPI | - | NPPES |
| 8303437 | Medicaid | NC | |
| 8303437V | Medicaid | NC | |
| 8303438S | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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