Organization
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FIDGEON (CEO)
(540) 710-6085
Entity
Organization
Contact information
Practice address
1430 ASHEVILLE HWY, HENDERSONVILLE, NC 28791-2302
(828) 697-4187
(828) 697-4488
Mailing address
PO BOX 759194, BALTIMORE, MD 21275-9194
(828) 697-4187
(828) 697-4488
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301590G
—
NC
Enumeration date
05/29/2009
Last updated
05/29/2009
Update your record
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