Organization
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, INC - WAKE HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA LITTLE (NC STATE QI & TRAINING DIRECTOR)
(704) 344-0491
Entity
Organization
Contact information
Practice address
3824 BARRETT DR, SUITE 200, RALEIGH, NC 27609-7220
(704) 344-0491
(704) 344-0493
Mailing address
PO BOX 759194, BALTIMORE, MD 21275-9194
(704) 344-0491
(704) 344-0493
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/27/2012
Last updated
07/22/2013
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