Provider Demographics
NPI:1346387206
Name:QUALITY FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:QUALITY FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:GOULD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-310-3749
Mailing Address - Street 1:8520 MORGAN MILL RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-9052
Mailing Address - Country:US
Mailing Address - Phone:704-753-9687
Mailing Address - Fax:
Practice Address - Street 1:506 WILKESBORO BLVD SE
Practice Address - Street 2:SUITE 210
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-4644
Practice Address - Country:US
Practice Address - Phone:828-754-6998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300643Medicaid