Organization
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC
Active
Parent organization
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC
Other names
Clarvida
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC
Authorized official
MELISSA KAY HEDDEN (CONTRACT MANAGER)
(828) 287-7945
Entity
Organization
Contact information
Practice address
139 E TRADE ST, FOREST CITY, NC 28043-3149
(828) 288-2707
Mailing address
P.O. BOX 759194, BALTIMORE, MD 21275-9194
(828) 225-3100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
MHL081068
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301843
—
NC
05
—
8301843S
—
NC
Enumeration date
01/29/2007
Last updated
07/15/2024
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