Organization
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC
Active
Other names
Clarvida
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KAY HEDDEN (CONTRACT MANAGER)
(828) 287-7945
Entity
Organization
Contact information
Practice address
94 WHITE DR, COLUMBUS, NC 28722-4439
(828) 859-6661
(828) 859-9487
Mailing address
PO BOX 759194, BALTIMORE, MD 21275-9194
(828) 859-6661
(828) 659-9487
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301587B
—
NC
05
—
8301587V
—
NC
Enumeration date
05/29/2009
Last updated
07/15/2024
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