Provider Demographics
NPI:1851581664
Name:QUALITY DEVELOPMENT FOR DECISIVE PEOPLE INC
Entity Type:Organization
Organization Name:QUALITY DEVELOPMENT FOR DECISIVE PEOPLE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:FARMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-801-7195
Mailing Address - Street 1:600 TIFFANY BLVD
Mailing Address - Street 2:SUITE G
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-1827
Mailing Address - Country:US
Mailing Address - Phone:252-442-9000
Mailing Address - Fax:
Practice Address - Street 1:600 TIFFANY BLVD
Practice Address - Street 2:SUITE G
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-1827
Practice Address - Country:US
Practice Address - Phone:252-442-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8301992Medicaid