# WOODBRIDGE ALTERNATIVE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649506957
- **Authorized official:** MR. JASON A TOWNSEND (BILLING ACCOUNTS MANAGER)
- **Authorized official phone:** (910) 580-2898

## Contact information

- **Practice address:** 225 S MAIN ST, RAEFORD, NC 28376-3203
- **Practice address phone:** (910) 878-0351
- **Practice address fax:** (910) 878-0362
- **Mailing address:** 225 S MAIN ST, RAEFORD, NC 28376-3203
- **Mailing address phone:** (910) 878-0351
- **Mailing address fax:** (910) 878-0362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2009
- **Last updated:** 10/20/2009