Organization
FAMILY INTERVENTION AND PREVENTION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA SMITH (EXECUTIVE DIRECTOR)
(919) 340-1626
Entity
Organization
Contact information
Practice address
104 N. MAIN STREET, LOUISBURG, NC 27549-2526
(919) 340-1626
Mailing address
104 N. MAIN STREET, LOUISBURG, NC 27549-2526
(919) 340-1626
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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