Provider Demographics
NPI:1477641371
Name:FAMILY SUPPORT SERVICES, INC.
Entity Type:Organization
Organization Name:FAMILY SUPPORT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-293-1291
Mailing Address - Street 1:PO BOX 2513
Mailing Address - Street 2:
Mailing Address - City:CULLOWHEE
Mailing Address - State:NC
Mailing Address - Zip Code:28723-2513
Mailing Address - Country:US
Mailing Address - Phone:828-293-1291
Mailing Address - Fax:877-530-0115
Practice Address - Street 1:931 WILANN DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-2147
Practice Address - Country:US
Practice Address - Phone:704-563-4586
Practice Address - Fax:704-586-4587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408720Medicaid