Organization
FAMILY FIRST SUPPORT CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAINT EDWARDS III (CEO)
(252) 367-1804
Entity
Organization
Contact information
Practice address
1314 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-2252
(800) 729-6650
(704) 270-9915
Mailing address
10612D PROVIDENCE RD # 541, CHARLOTTE, NC 28277-0233
(800) 729-6650
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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