Provider Demographics
NPI:1689902223
Name:QUALITY CARE SOLUTIONS INC
Entity Type:Organization
Organization Name:QUALITY CARE SOLUTIONS INC
Other - Org Name:QUALITY CARE SOLUTIONS INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MANDRAKE
Authorized Official - Middle Name:K
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:919-279-8588
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:919-790-8606
Mailing Address - Fax:
Practice Address - Street 1:1016 BROAD ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4144
Practice Address - Country:US
Practice Address - Phone:919-286-6766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-19
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
NCMHL-032-512261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health