| Family Support Services, Inc. | |
|
2422 N Tryon St Charlotte NC 28206-2751 | |
| (704) 563-4586 | |
| (877) 530-0115 |
| Full Name | Family Support Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2422 N Tryon St, Charlotte, North Carolina |
| Authorized Official Name and Position | Cynthia A. Carter (CFO) |
| Authorized Official Contact | 8282931291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Support Services, Inc. Po Box 18574 Charlotte NC 28218-0574 Ph: (704) 563-4586 | Family Support Services, Inc. 2422 N Tryon St Charlotte NC 28206-2751 Ph: (704) 563-4586 |
| NPI Number | 1811195944 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 07/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811195944 | NPI | - | NPPES |
| 8301713 | Medicaid | NC | |
| 3408720 | Medicaid | NC | |
| 8301713B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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