Organization
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA L FREELEY (NC BILLING SYSTEM SUPERVISOR)
(704) 344-0491
Entity
Organization
Contact information
Practice address
2875 PACE RD, HENDERSONVILLE, NC 28792-9039
(828) 697-4187
(828) 697-4488
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
PENDING
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302954
—
NC
05
—
8302954R
—
NC
Enumeration date
01/06/2010
Last updated
12/04/2018
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