Organization
WITH A PURPOSE FAMILY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH M SMITH QP (ADMINISTRATOR)
(919) 344-5840
Entity
Organization
Contact information
Practice address
6257 ROBERTS DRIVE, LAGRANGE, NC 28551-6805
(919) 344-5840
(252) 566-9440
Mailing address
6257 ROBERTS DR, LA GRANGE, NC 28551-6805
(919) 344-5840
(252) 566-9440
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-054-164
NC
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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