MEDICARE: FAMILY LINK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1932365848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY LINK

Provider Business Mailing Address
First Line	:	2530 MERIDIAN PKWY
Second Line	:	SUITE-3008
City	:	DURHAM
State	:	NC
Zip	:	27713-5272
Country	:	US
Telephone Number	:	919-806-4980
Fax Number	:	919-806-4301

Provider Business Practice Location Address
First Line	:	2530 MERIDIAN PKWY
Second Line	:	SUITE-3008
City	:	DURHAM
State	:	NC
Zip	:	27713-5272
Country	:	US
Telephone Number	:	919-806-4980
Fax Number	:	919-806-4301

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	MS. TONIA LYNN TAYLOR
Credential	:
Telephone Number	:	704-831-1535

Provider Enumeration Date	:	07/30/2008
Last Update Date	:	07/31/2008

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Directions to “FAMILY LINK ” Practice Location

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