Provider Demographics
NPI:1598803025
Name:QUALITY FAMILY SERVICES, INC
Entity type:Organization
Organization Name:QUALITY FAMILY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THERON
Authorized Official - Middle Name:
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:704-225-9053
Mailing Address - Street 1:PO BOX 726
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28111-0726
Mailing Address - Country:US
Mailing Address - Phone:704-225-9053
Mailing Address - Fax:866-797-6946
Practice Address - Street 1:5103 MONROE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-7825
Practice Address - Country:US
Practice Address - Phone:704-536-9300
Practice Address - Fax:866-770-0408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409071Medicaid
NC8300980Medicaid