Organization
FAMILY PRESERVATION SERVICES OF NC, INC - RALEIGH
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
3824 BARRETT DR, SUITE 200, RALEIGH, NC 27609-7220
(704) 344-0491
(704) 344-0493
Mailing address
PO 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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8303437
—
NC
05
—
8303437V
—
NC
05
—
8303438S
—
NC
Enumeration date
02/09/2012
Last updated
02/10/2014
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