Organization
FERNANDEZ COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN EDWARD SLOAN JR. MSW/LCSW (EXECUTIVE DIRECTOR)
(919) 926-7503
Entity
Organization
Contact information
Practice address
314 MILLBROOK ROAD, SUITE 105, RALEIGH, NC 27609-4389
(919) 926-7503
(919) 926-7508
Mailing address
314 MILLBROOK ROAD, SUITE 105, RALEIGH, NC 27609-4389
(919) 926-7503
(919) 926-7508
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
COO1434
NC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/13/2009
Last updated
10/31/2012
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