Organization
ADOLESCENT ALTERNATIVES
Active
Organization
ADOLESCENT ALTERNATIVES
Active
Other names
Adolescent Alternatives
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRENA SIMPSON-SMITH MSW-LCSW (DIRECTOR OF CLINICAL SERVICES)
(336) 451-1113
Entity
Organization
Contact information
Practice address
2207 LONGBROOK DR, GREENSBORO, NC 27406-9448
(336) 370-9876
Mailing address
PO BOX 16162, GREENSBORO, NC 27416-0162
(336) 370-9876
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-041-731
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603883
—
NC
05
—
8301552B
—
NC
Enumeration date
08/30/2006
Last updated
08/07/2023
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