Organization
INNOVATIVE FAMILY CARE OF RALEIGH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIAN S SMITH (OWNER)
(919) 395-0979
Entity
Organization
Contact information
Practice address
5008 WHISPER CT, RALEIGH, NC 27616-5672
(919) 395-0979
Mailing address
5008 WHISPER CT, RALEIGH, NC 27616-5672
(919) 395-0979
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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