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Organization
WOODBRIDGE ALTERNATIVE, INC
Active
Organization
WOODBRIDGE ALTERNATIVE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEON ROBINSON (VICE-PRESIDENT)
(910) 488-9570
Entity
Organization
Contact information
Practice address
1480 PAMALEE DR, FAYETTEVILLE, NC 28303-3928
(910) 488-9570
(910) 822-0111
Mailing address
1480 PAMALEE DRIIVE, FAYETTEVILLE, NC 28303-3928
(910) 488-9570
(910) 822-0111
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL009019
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL024052
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL026454
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL026464
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL026477
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL026557
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL026618
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL026680
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL026705
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL026707
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL026718
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL065155
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL065161
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005215
—
NC
05
—
6005216
—
NC
05
—
6603044
—
NC
05
—
6603045
—
NC
05
—
6603046
—
NC
05
—
6603136
—
NC
05
—
6603233
—
NC
05
—
6603282
—
NC
05
—
6603283
—
NC
05
—
6603284
—
NC
05
—
6603325
—
NC
05
—
6603588
—
NC
05
—
6603589
—
NC
05
—
6603603
—
NC
05
—
6603733
—
NC
05
—
8301341
—
NC
05
—
8301341B
—
NC
05
—
8301341G
—
NC
05
—
8301341H
—
NC
Enumeration date
02/05/2007
Last updated
04/24/2009
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