# FAMILY QUALITY CARE SERVICE ,INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912060062
- **Authorized official:** MS. SANDRA DENISE LASSITER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (919) 237-2225

## Contact information

- **Practice address:** 1812 LIBERTY ST, DURHAM, NC 27703-2271
- **Practice address phone:** (919) 237-2225
- **Practice address fax:** (919) 237-2225
- **Mailing address:** PO BOX 11265, DURHAM, NC 27703-0265
- **Mailing address phone:** (919) 237-2225
- **Mailing address fax:** (919) 237-2226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |
| 251300000X | Local Education Agency (LEA) | 032-328 | NC | Yes |
| 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