Organization
SUCCESS FAMILY SERVICES, INC.
Active
Organization
SUCCESS FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHUKAIRO MACK TOWNSEND QP (CLINICAL DIRECTOR)
(919) 217-7044
Entity
Organization
Contact information
Practice address
7537 BRIGHTON HILL LN, RALEIGH, NC 27616-8306
(919) 217-7044
Mailing address
7537 BRIGHTON HILL LN, RALEIGH, NC 27616-8306
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
05/03/2007
Last updated
09/03/2007
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