Organization
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC
Active
Other names
Clarvida
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA K HEDDEN (CONTRACT MANAGER)
(828) 748-7629
Entity
Organization
Contact information
Practice address
139 E TRADE ST, FOREST CITY, NC 28043-3149
(828) 287-7945
Mailing address
10304 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408-8602
(828) 287-6110
(828) 287-6092
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301589B
—
NC
05
—
8301589V
—
NC
Enumeration date
05/29/2009
Last updated
07/15/2024
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