Organization
CAROLINA FAMILY ALLIANCE, INC.
Active
Other names
CFA, Inc.-RISE Program/PSR
Organization subpart
No
Provider details
NPI number
Authorized official
SABRINA A MACK MSW (EXECUTIVE DIRECTOR/OWNER)
(704) 536-9378
Entity
Organization
Contact information
Practice address
9105 MONROE RD, CHARLOTTE, NC 28270-1644
(704) 536-9378
(704) 536-9359
Mailing address
1235 EAST BLVD, #242, CHARLOTTE, NC 28203-5870
(704) 536-9378
(704) 536-9359
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
060-1177
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5914573
—
NC
05
—
6008015
—
NC
05
—
8302432
—
NC
05
—
8303125
—
NC
Enumeration date
03/04/2008
Last updated
02/16/2023
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