| Family Preservation Services Of North Carolina, Llc Flat Rock Middle | |
|
191 Preston Ln East Flat Rock NC 28726-2865 | |
| (704) 344-0491 | |
| (704) 344-0493 |
| Full Name | Family Preservation Services Of North Carolina, Llc Flat Rock Middle |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 191 Preston Ln, East Flat Rock, North Carolina |
| Authorized Official Name and Position | Pamela L Freeley (NC BILLING SYSTEM SUPERVISOR) |
| Authorized Official Contact | 7043440491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Preservation Services Of North Carolina, Llc Flat Rock Middle Po Box 759194 Baltimore MD 21275-9194 Ph: (828) 225-3100 | Family Preservation Services Of North Carolina, Llc Flat Rock Middle 191 Preston Ln East Flat Rock NC 28726-2865 Ph: (704) 344-0491 |
| NPI Number | 1871873422 |
|---|---|
| Provider Enumeration Date | 08/26/2011 |
| Last Update Date | 12/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871873422 | NPI | - | NPPES |
| 8302950R | Medicaid | NC | |
| 8303416R | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |