Organization
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA LLC
Active
Parent organization
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, INC.
Authorized official
PAMELA L FREELEY (NC BILLING SYSTEM SUPERVISOR)
(704) 344-0491
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
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300284
—
NC
05
—
8300284V
—
NC
Enumeration date
03/12/2007
Last updated
12/04/2018
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