Organization
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FIDGEON (CEO)
(540) 710-6085
Entity
Organization
Contact information
Practice address
330 CAROLINA DR, TRYON, NC 28782-0015
(828) 859-6661
(828) 859-9487
Mailing address
PO BOX 759194, BALTIMORE, MD 21275-9194
(828) 859-6661
(828) 859-9487
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301587G
—
NC
Enumeration date
05/29/2009
Last updated
05/29/2009
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