Organization
FAMILY PRESERVATION SERVICES OF NC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA KAYE LITTLE (NC QI & TRAINING DIR)
(704) 344-0491
Entity
Organization
Contact information
Practice address
53 S FRENCH BROAD AVE, 3RD FLOOR, ASHEVILLE, NC 28801-3272
(828) 225-3100
(828) 225-3604
Mailing address
PO BOX 759194, BALTIMORE, MD 21275-9194
(540) 710-6085
(540) 710-6447
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906873
—
NC
Enumeration date
06/08/2009
Last updated
07/30/2013
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