MEDICARE: QUALITY CARE SOLUTIONS INC

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	8301486	NC

General Provider Information

NPI Number	:	1568595510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY CARE SOLUTIONS INC

Provider Business Mailing Address
First Line	:	3824 BARRETT DR STE 105
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-7220
Country	:	US
Telephone Number	:	919-790-7775
Fax Number	:	919-790-9755

Provider Business Practice Location Address
First Line	:	3824 BARRETT DR STE 105
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-7220
Country	:	US
Telephone Number	:	919-790-7775
Fax Number	:	919-790-9755

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MR. MANDRAKE KAREEM LEWIS
Credential	:	BA
Telephone Number	:	919-790-7770

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	03/17/2018

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