# ALPHA DELTA FAMILY SERVICES GRP. INC.

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

## Provider details

- **NPI number:** 1669624417
- **Authorized official:** MR. GEORGE CREWS III (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (919) 630-6589

## Contact information

- **Practice address:** 508 HWY 86 N, HILLSBOROUGH, NC 27278
- **Practice address phone:** (919) 643-4004
- **Mailing address:** 7612 NC HWY 49, MEBANE, NC 27302-7519
- **Mailing address phone:** (336) 562-5300
- **Mailing address fax:** (336) 562-5500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2008
- **Last updated:** 10/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603634 | — | NC |