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
690 RIDGE RD, HENDERSONVILLE, NC 28792-7468
(828) 697-4187
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302955
—
NC
05
—
8302955R
—
NC
Enumeration date
01/20/2010
Last updated
12/04/2018
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