Provider Demographics
NPI:1588890933
Name:QUALITY CARE DEVELOPMENTAL SERVICES INC.
Entity type:Organization
Organization Name:QUALITY CARE DEVELOPMENTAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:D
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:BA SOCIOLOGY
Authorized Official - Phone:704-798-2851
Mailing Address - Street 1:P.O. BOX 2748
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28145-2748
Mailing Address - Country:US
Mailing Address - Phone:704-798-2851
Mailing Address - Fax:704-645-8038
Practice Address - Street 1:425 MIRROR LAKE ROAD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28146-8374
Practice Address - Country:US
Practice Address - Phone:704-798-2851
Practice Address - Fax:704-645-8038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-29
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children