Organization
FAMILY ALLIANCE NETWORK LLC
Active
Other names
Family Alliance Network
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SABRINA A MACK (EXECUTIVE DIRECTOR)
(704) 756-3991
Entity
Organization
Contact information
Practice address
331 E MAIN ST STE 212, ROCK HILL, SC 29730-5384
(803) 368-5007
Mailing address
331 E MAIN ST STE 212, ROCK HILL, SC 29730-5384
(803) 368-5007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP8959
—
SC
Enumeration date
05/21/2020
Last updated
05/21/2020
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