Organization
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA LLC
Active
Parent organization
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, INC
Other names
Clarvida
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, INC
Authorized official
MELISSA KAY HEDDEN (CONTRACT MANAGER)
(828) 287-7945
Entity
Organization
Contact information
Practice address
2300 SARDIS RD N STE M, CHARLOTTE, NC 28227-7712
(704) 344-0491
Mailing address
PO BOX 759194, BALTIMORE, MD 21275-9194
(704) 344-0491
(704) 344-0493
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005523
—
NC
Enumeration date
02/23/2007
Last updated
07/15/2024
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