Organization
CAROLINA FAMILY COMPREHENSIVE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM CRUMP (EXECUTIVE DIRECTOR)
(704) 548-9600
Entity
Organization
Contact information
Practice address
1935 JN PEASE PLACE, SUITE 104, CHARLOTTE, NC 28262-4554
(704) 548-9600
(704) 548-9666
Mailing address
1935 JN PEASE PLACE, SUITE 104, CHARLOTTE, NC 28262-4554
(704) 548-9600
(704) 548-9666
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
101YM0800X
Mental Health Counselor
—
NC
101YP2500X
Professional Counselor
—
NC
104100000X
Social Worker
—
NC
1041C0700X
Clinical Social Worker
—
NC
251B00000X
Case Management Agency
—
NC
251C00000X
Developmentally Disabled Services Day Training Agency
—
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Enumeration date
05/05/2010
Last updated
10/15/2010
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