Organization
FAMILY BASED STRATEGIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE VERMETTE (REGIONAL DIRECTOR)
(919) 847-6176
Entity
Organization
Contact information
Practice address
808 SALEM WOODS DR, SUITE 104, RALEIGH, NC 27615-3345
(919) 847-6176
Mailing address
10304 SPOTSYLVANIA AVE, SUITE 300, FREDERICKSBURG, VA 22408-8602
(540) 710-6085
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8300805H
INTENSIVE IN HOME
NC
Enumeration date
02/15/2007
Last updated
08/22/2020
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