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Organization
FAMILY QUALITY CARE SERVICE ,INC.
Active
Organization
FAMILY QUALITY CARE SERVICE ,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA DENISE LASSITER (CHIEF EXECUTIVE OFFICER)
(919) 237-2225
Entity
Organization
Contact information
Practice address
1812 LIBERTY ST, DURHAM, NC 27703-2271
(919) 237-2225
(919) 237-2225
Mailing address
PO BOX 11265, DURHAM, NC 27703-0265
(919) 237-2225
(919) 237-2226
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251300000X
Local Education Agency (LEA)
Primary
032-328
NC
251B00000X
Case Management Agency
032-328
NC
251C00000X
Developmentally Disabled Services Day Training Agency
032-328
NC
251E00000X
Home Health Agency
HC2967
NC
251S00000X
Community/Behavioral Health Agency
032-328
NC
261QH0100X
Health Service Clinic/Center
032-328
NC
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
032-038
NC
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
032-328
NC
261QM0855X
Adolescent and Children Mental Health Clinic/Center
032-328
NC
347C00000X
Private Vehicle
032-328
NC
Other
Enumeration date
12/19/2006
Last updated
09/26/2007
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