| Nc Family Care | |
|
3509 Haworth Dr Suite 105 Raleigh NC 27609-7238 | |
| (919) 896-7536 | |
| (919) 896-7537 |
| Full Name | Nc Family Care |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3509 Haworth Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Elizabeth Ann Grady (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9198967536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nc Family Care 3509 Haworth Dr Suite 105 Raleigh NC 27609-7238 Ph: (919) 896-7536 | Nc Family Care 3509 Haworth Dr Suite 105 Raleigh NC 27609-7238 Ph: (919) 896-7536 |
| NPI Number | 1255572830 |
|---|---|
| Provider Enumeration Date | 03/12/2009 |
| Last Update Date | 11/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255572830 | NPI | - | NPPES |
| 8302727B | Medicaid | NC | |
| 6102727 | Medicaid | NC | |
| 6006768 | Medicaid | NC | |
| 8302727H | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4766 (North Carolina) | Primary |
| 251S00000X | Community/behavioral Health | 4766 (North Carolina) | Secondary |
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