Carolina Family Alliance, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAROLINA FAMILY ALLIANCE, INC.

Practice address

9105 Monroe Rd
Charlotte, NC 28270-1644

Phone

(704) 536-9378

Fax

(704) 536-9359

NPI assigned

Mar 4, 2008

Last updated

Feb 16, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sabrina A Mack, MSW

Title

Executive Director/Owner

Phone

(704) 536-9378

Specialties & licenses 3

Addresses

Other names 1

• CFA, Inc.-RISE Program/PSR Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1922278043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 EAST BLVD",
            "address_2": "#242",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035870",
            "telephone_number": "704-536-9378",
            "fax_number": "704-536-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 MONROE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701644",
            "telephone_number": "704-536-9378",
            "fax_number": "704-536-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FAMILY ALLIANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OWNER",
        "authorized_official_telephone_number": "704-536-9378",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "060-1177",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CFA, Inc.-RISE Program/PSR",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CFA, Inc.-RISE Program/PSR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Carolina Family Comprehensive Services, Inc.

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.