| Institute For Family Centered Services | |
|
1209 E Garrison Blvd Gastonia NC 28054-5115 | |
| (704) 864-6573 | |
| (704) 864-9791 |
| Full Name | Institute For Family Centered Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1209 E Garrison Blvd, Gastonia, North Carolina |
| Authorized Official Name and Position | Mary Patricia Rodenberg-roberts (VP & SR ASST GENERAL COUNSEL) |
| Authorized Official Contact | 9528362234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Family Centered Services 3210 Skipwith Rd Suite B Henrico VA 23294-4443 Ph: (804) 346-0051 | Institute For Family Centered Services 1209 E Garrison Blvd Gastonia NC 28054-5115 Ph: (704) 864-6573 |
| NPI Number | 1275688046 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275688046 | NPI | - | NPPES |
| 6005635 | Medicaid | NC | |
| 8300546B | Medicaid | NC | |
| 8300546 | Medicaid | NC | |
| 8300546H | Medicaid | NC | |
| 8300546G | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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