Organization
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA K LITTLE (NC STATE QI & TRAINING DIRECTOR)
(704) 344-0491
Entity
Organization
Contact information
Practice address
94 WHITE DR, COLUMBUS, NC 28722-4439
(828) 225-3100
(828) 225-3604
Mailing address
PO BOX 759194, BALTIMORE, MD 21275-9194
(828) 225-3100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301587
—
NC
Enumeration date
11/03/2006
Last updated
02/10/2014
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