Organization
THE FAMILY MENTAL HEALTH AND FAMILY SERVICES LLC
Active
Other names
The Family
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE PEGUES (OWNER)
(252) 202-1182
Entity
Organization
Contact information
Practice address
711 BRENTWINDS LN APT 208, SPRING LAKE, NC 28390-2190
(252) 202-1182
Mailing address
711 BRENTWINDS LN APT 208, SPRING LAKE, NC 28390-2190
(252) 202-1182
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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