Organization
ALAMANCE ACADEMY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MOLLISSIEE PETERSON (OWNER OPERATOR)
(336) 437-4382
Entity
Organization
Contact information
Practice address
530 ROSENWALD ST, BURLINGTON, NC 27217
(336) 437-4382
Mailing address
530 ROSENWALD ST, BURLINGTON, NC 27217-2468
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL001230
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604306
—
NC
Enumeration date
07/29/2013
Last updated
05/21/2018
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