| Family Preservation Services Of Nc, Inc - Terrell Lane Middle School | |
|
101 Terrell Ln Louisburg NC 27549-9207 | |
| (704) 344-0491 | |
| (704) 344-0493 |
| Full Name | Family Preservation Services Of Nc, Inc - Terrell Lane Middle School |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101 Terrell Ln, Louisburg, 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 - Terrell Lane Middle School Po Box 759194 Baltimore MD 21275-9194 Ph: (704) 344-0491 | Family Preservation Services Of Nc, Inc - Terrell Lane Middle School 101 Terrell Ln Louisburg NC 27549-9207 Ph: (704) 344-0491 |
| NPI Number | 1982984712 |
|---|---|
| Provider Enumeration Date | 08/24/2011 |
| Last Update Date | 09/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982984712 | NPI | - | NPPES |
| 8303356R | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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