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Organization
THERAPEUTIC ALTERNATIVES INCORPORATED
Active
Organization
THERAPEUTIC ALTERNATIVES INCORPORATED
Active
Parent organization
THERAPEUTIC ALTERNATIVES INCORPORATED
Organization subpart
Yes
Provider details
NPI number
Legal business name
THERAPEUTIC ALTERNATIVES INCORPORATED
Authorized official
MR. KENNETH ALAN BURROW (VICE PRESIDENT)
(336) 495-2700
Entity
Organization
Contact information
Practice address
962 S FAYETTEVILLE ST, ASHEBORO, NC 27203-6410
(336) 626-1500
Mailing address
PO BOX 814, 4270 HEATH DAIRY RD, RANDLEMAN, NC 27317-0814
(336) 495-2700
(336) 495-5552
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005330
—
NC
Enumeration date
07/17/2006
Last updated
04/21/2010
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