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Organization
PROFESSIONAL FAMILY CARE SERVICES, INC
Active
Organization
PROFESSIONAL FAMILY CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENSON OTOVO MBA (EXECUTIVE DIRECTOR/PRESIDENT)
(910) 485-0085
Entity
Organization
Contact information
Practice address
811 STAMPER RD UNIT 4-5, FAYETTEVILLE, NC 28303-4215
(910) 485-0085
Mailing address
PO BOX 35150, FAYETTEVILLE, NC 28303-0150
(910) 485-0085
(910) 485-0334
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
MHL026894
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301551B
—
NC
Enumeration date
10/17/2006
Last updated
10/02/2023
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