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CAROLINA FAMILY ALLIANCE INC. NPI 1922278043


NPI Information

NPI: 1922278043
Provider Name: CAROLINA FAMILY ALLIANCE, INC.

Other Name: CFA, INC.-RISE PROGRAM/PSR

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4915 ALBEMARLE RD
CHARLOTTE, NC
ZIP 28205
Phone: (704) 536-9378
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CAROLINA FAMILY ALLIANCE, INC. is a community behavioral health in Charlotte, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CAROLINA FAMILY ALLIANCE, INC. NPI is 1922278043. The provider is registered as an organization entity type.
The provider Other Name Is Cfa, Inc.-rise Program/psr.

The provider's business location address is:

4915 ALBEMARLE RD
CHARLOTTE, NC
ZIP 28205-617
Phone: (704) 536-9378
Fax: (704) 536-9359

The provider's authorized official is Sabrina A Mack .
The authorized official title is Executive Director/owner and has the following contact phone number (704) 536-9378.

The enumeration date for this NPI number is 3/4/2008 and was last updated on 12/9/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled Services060-1177NORTH CAROLINANo
2251B00000XCase ManagementNo
3251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15914573MEDICAIDNORTH CAROLINA
28302432MEDICAIDNORTH CAROLINA
38303125MEDICAIDNORTH CAROLINA
46008015MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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