Organization
PROFESSIONAL ALTERNATIVE VISIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA ANN VINSON LCAS/A (CEO, OWNER)
(252) 396-5288
Entity
Organization
Contact information
Practice address
2717 E WASHINGTON ST, SUFFOLK, VA 23434-2619
(252) 396-5288
Mailing address
136 IRVIN RD, MURFREESBORO, NC 27855-9621
(252) 396-5288
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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