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Organization
THE ALAMANCE ACADEMY
Active
Organization
THE ALAMANCE ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOLLISSIE PETERSON (PROGRAM DIRECTOR)
(336) 437-4382
Entity
Organization
Contact information
Practice address
605 S CHURCH ST, BURLINGTON, NC 27215
(336) 350-8169
Mailing address
605 S CHURCH ST, BURLINGTON, NC 27215-3879
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-001-230
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604306
—
NC
Enumeration date
05/27/2015
Last updated
07/13/2018
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