Whalio Doctors

NPI 1912060062

Family Quality Care Service ,INC.

Organisation Local Education Agency (LEA) Durham, NC

Practice location

Address
1812 Liberty St, Durham, NC 27703-2271
Phone
(919) 237-2225
Fax
(919) 237-2225
Mailing address
PO Box 11265, Durham, NC 27703-0265

Authorised official

Name
Sandra Denise Lassiter
Title
Chief Executive Officer
Phone
(919) 237-2225

Registered specialties (12)

Local Education Agency (LEA) Primary
Agencies Taxonomy 251300000X Licence 032-328 (NC)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X
Child & Adolescent Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0804X
Case Management Agency
Agencies Taxonomy 251B00000X Licence 032-328 (NC)
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X Licence 032-328 (NC)
Home Health Agency
Agencies Taxonomy 251E00000X Licence HC2967 (NC)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence 032-328 (NC)
Health Service Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QH0100X Licence 032-328 (NC)
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X Licence 032-038 (NC)
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X Licence 032-328 (NC)
Adolescent and Children Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0855X Licence 032-328 (NC)
Private Vehicle
Transportation Services Taxonomy 347C00000X Licence 032-328 (NC)

Registry record

NPI
1912060062
Entity type
Organization
NPI issued
19 Dec 2006
Record last updated
26 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.