Organization
FAMILY PRESERVATION SERVICES OF NC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA KAYE LITTLE (NC QI & TRAINING DIR)
(704) 344-0491
Entity
Organization
Contact information
Practice address
941 W ANDREWS AVE STE I, HENDERSON, NC 27536-2586
(252) 438-4740
Mailing address
PO BOX 759194, BALTIMORE, MD 21275-9194
(828) 225-3100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300262H
—
NC
Enumeration date
02/02/2007
Last updated
02/10/2014
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