OrganizationFamily Preservation Services Of Nc, Inc - RaleighCommunity/Behavioral HealthAgenciesPractice Address3824 Barrett Dr, Suite 200, Raleigh, NC 27609-7220(704) 344-0491PECOS EnrollmentBased on the most recent information from CMS, provider Family Preservation Services Of Nc, Inc - Raleigh does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1417229246Provider TypeOrganizationFull NameFamily Preservation Services Of Nc, Inc - RaleighSubpartNoEnumeration Date2/9/2012Last Updated2/10/2014Contact InformationPractice LocationPractice Address3824 Barrett Dr, Suite 200, Raleigh, NC 27609-7220Phone(704) 344-0491Fax(704) 344-0493Mailing LocationMailing AddressPO Box 759194, Baltimore, MD 21275-9194Phone(704) 344-0491Fax(704) 344-0493Authorized OfficialNameLittle, Miranda (Nc State Qi & Training Director)Phone(704) 344-0491Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID8303437DescriptionMedicaidIssuerUnlistedNorth CarolinaID8303437VDescriptionMedicaidIssuerUnlistedNorth CarolinaID8303438SDescriptionMedicaidIssuerUnlistedNorth Carolina