Organization
FAMILY PRESERVATION SERVICES OF NC, INC - LONG MILL ELEMENTARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA LITTLE (NC STATE QI & TRAINING DIRECTOR)
(704) 344-0491
Entity
Organization
Contact information
Practice address
1753 LONG MILL RD, YOUNGSVILLE, NC 27596-7469
(704) 344-0491
(704) 344-0493
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8303349R
—
NC
Enumeration date
08/24/2011
Last updated
02/10/2014
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