Provider Demographics
NPI:1295863264
Name:NEXT STATE FAMILY SERVICES
Entity Type:Organization
Organization Name:NEXT STATE FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:FRONEBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-327-6265
Mailing Address - Street 1:1041 FORD DR.
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:NC
Mailing Address - Zip Code:28098
Mailing Address - Country:US
Mailing Address - Phone:704-824-8416
Mailing Address - Fax:
Practice Address - Street 1:1041 FORD DR.
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:NC
Practice Address - Zip Code:28098
Practice Address - Country:US
Practice Address - Phone:704-824-8416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-036-228320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities