Provider Demographics
NPI:1598329765
Name:CAROLINAS QUALITY FAMILY SERVICES, LLC
Entity Type:Organization
Organization Name:CAROLINAS QUALITY FAMILY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:N
Authorized Official - Last Name:DIGSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-674-8008
Mailing Address - Street 1:7619 EBEN DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-1113
Mailing Address - Country:US
Mailing Address - Phone:704-674-8008
Mailing Address - Fax:
Practice Address - Street 1:7619 EBEN DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-1113
Practice Address - Country:US
Practice Address - Phone:704-674-8008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-23
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management