Healthcare Provider Details

I. General information

NPI: 1821469198
Provider Name (Legal Business Name): QUALITY CARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2015
Last Update Date: 12/02/2021
Certification Date: 12/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3824 BARRETT DR STE 105
RALEIGH NC
27609-7220
US

IV. Provider business mailing address

301 S CHURCH ST SUITE 163
ROCKY MOUNT NC
27804-5755
US

V. Phone/Fax

Practice location:
  • Phone: 919-790-7775
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MANDRAKE LEWIS
Title or Position: CEO
Credential:
Phone: 919-790-7775