Organization
FAMILY PRESERVATION SERVICES OF NC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA KAYE LITTLE (NC QI & TRAINING DIR)
(704) 344-0491
Entity
Organization
Contact information
Practice address
4601 PARK RD, SUITE 400, CHARLOTTE, NC 28209-3239
(704) 344-0491
Mailing address
PO BOX 759194, BALTIMORE, MD 21275-9194
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8702086
—
NC
Enumeration date
05/13/2010
Last updated
01/13/2014
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