Organization
LUTHERAN FAMILY SERVICES IN THE CAROLINAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRBY DALE NICKERSON (CFO)
(704) 637-2870
Entity
Organization
Contact information
Practice address
4822 ALBEMARLE RD, SUITE 240, CHARLOTTE, NC 28205-6668
(704) 940-3333
Mailing address
PO BOX 2369, SALISBURY, NC 28145-2369
(704) 637-2870
(704) 637-2950
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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