Provider Demographics
NPI:1497089072
Name:FAMILY ADVANCING MORE EFFECTIVELY
Entity Type:Organization
Organization Name:FAMILY ADVANCING MORE EFFECTIVELY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:STACIA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:GLASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-672-2885
Mailing Address - Street 1:3326 GUESS ROAD
Mailing Address - Street 2:203
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2160
Mailing Address - Country:US
Mailing Address - Phone:919-672-2285
Mailing Address - Fax:
Practice Address - Street 1:3326 GUESS ROAD
Practice Address - Street 2:203
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2160
Practice Address - Country:US
Practice Address - Phone:919-672-2285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health