Provider Demographics
NPI:1639495393
Name:QUALITY CARE SOLUTIONS INC
Entity Type:Organization
Organization Name:QUALITY CARE SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MANDRAKE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:919-790-8606
Mailing Address - Street 1:1306 PADDOCK DR
Mailing Address - Street 2:SUITE E-100
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4873
Mailing Address - Country:US
Mailing Address - Phone:919-790-7775
Mailing Address - Fax:919-790-9755
Practice Address - Street 1:1306 PADDOCK DR
Practice Address - Street 2:SUITE E-100
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4873
Practice Address - Country:US
Practice Address - Phone:919-790-7775
Practice Address - Fax:919-790-9755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-20
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6575101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty