Organization
FAMILY PRESERVATION SERVICES OF NC, INC - CHALONER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA LITTLE (NC STATE QI & TRAINING DIRECTOR)
(704) 344-0491
Entity
Organization
Contact information
Practice address
2100 VIRGINIA AVE., ROANOKE RAPIDS, NC 27870-4736
(704) 344-0491
(704) 344-0493
Mailing address
P.O. BOX 759194, BALTIMORE, MD 21275-9194
(704) 344-0491
(704) 344-0493
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
08/09/2013
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