Organization
FAMILY PRESERVATION SERVICES OF NC, INC.
Active
Parent organization
PROVIDENCE SERVICE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE SERVICE CORPORATION
Authorized official
MIRANDA KAYE LITTLE (NC QI & TRAINING DIR)
(704) 344-0491
Entity
Organization
Contact information
Practice address
2300 W SUGAR CREEK RD, CHARLOTTE, NC 28262-3144
(980) 343-5231
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
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8303135R
—
NC
Enumeration date
05/05/2010
Last updated
02/10/2014
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