Organization
FAMILY PRESERVATION SERVICES
Active
Parent organization
PROVIDENCE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE CORPORATION
Authorized official
MIRANDA KAYE LITTLE (NC QI & TRAINING DIR)
(704) 344-0491
Entity
Organization
Contact information
Practice address
2609 N DUKE ST, SUITE 504, DURHAM, NC 27704-3048
(919) 401-1151
(919) 401-4040
Mailing address
PO BOX 759194, BALTIMORE, MD 21275-9194
(828) 225-3100
(828) 225-3604
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P007561
NC
Other
Enumeration date
08/01/2012
Last updated
01/13/2014
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