Organization
COMMUNITY ALTERNATIVES INC.
Active
Other names
Community Choices Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY FULK (VP, QUALITY & SERVICE INTEGRATION)
(704) 533-0166
Entity
Organization
Contact information
Practice address
726 N CHERRY ST, WINSTON SALEM, NC 27101-1419
(336) 397-5000
(336) 397-7501
Mailing address
5800 EXECUTIVE CENTER DR STE 100, CHARLOTTE, NC 28212-8859
(704) 336-4844
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL034217
NC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301567
—
NC
05
—
8301567B
—
NC
05
—
8301567G
—
NC
05
—
8301567P
—
NC
Enumeration date
07/03/2008
Last updated
12/01/2020
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