Provider Demographics
NPI:1659513786
Name:FAMILY SOLUTIONS AND SUPPORT SERVICES
Entity Type:Organization
Organization Name:FAMILY SOLUTIONS AND SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MILDRED
Authorized Official - Middle Name:P
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:919-699-0732
Mailing Address - Street 1:4324 S ALSTON AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-2567
Mailing Address - Country:US
Mailing Address - Phone:919-699-0732
Mailing Address - Fax:919-666-6854
Practice Address - Street 1:4324 S ALSTON AVE STE 205
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-2567
Practice Address - Country:US
Practice Address - Phone:919-699-0732
Practice Address - Fax:919-666-6854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-06
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health