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 11 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