Provider Demographics
NPI:1275864506
Name:FAMILIES RECOVERY SERVICES, INC
Entity Type:Organization
Organization Name:FAMILIES RECOVERY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMILLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-206-3813
Mailing Address - Street 1:200 E GREEN ST
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-3422
Mailing Address - Country:US
Mailing Address - Phone:910-817-7425
Mailing Address - Fax:910-817-7427
Practice Address - Street 1:200 E GREEN ST
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-3422
Practice Address - Country:US
Practice Address - Phone:910-817-7425
Practice Address - Fax:910-817-7427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-27
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8302958HMedicaid
NC8302958BMedicaid
NC8302958Medicaid
NC3418784Medicaid
NC8302958GMedicaid