Basic Information
Provider Information
NPI: 1629322540
EntityType: 2
ReplacementNPI:  
OrganizationName: ACCESS FAMILY SERVICES, INC.
LastName:  
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Mailing Information
Address1: 1100 RIDGEFIELD BLVD
Address2: SUITE 190
City: ASHEVILLE
State: NC
PostalCode: 288066209
CountryCode: US
TelephoneNumber:  
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Practice Location
Address1: 8390 SIX FORKS RD STE 201
Address2:  
City: RALEIGH
State: NC
PostalCode: 276153060
CountryCode: US
TelephoneNumber: 8286707723
FaxNumber: 8286707727
Other Information
ProviderEnumerationDate: 10/30/2012
LastUpdateDate: 08/25/2020
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: NICOLAI
AuthorizedOfficialFirstName: ROB
AuthorizedOfficialMiddleName: D
AuthorizedOfficialTitleorPosition: REGIONAL DIRECTOR
AuthorizedOfficialTelephone: 8286707723
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 08/25/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251S00000X  Y AgenciesCommunity/Behavioral Health 

No ID Information.


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