Organization
THERAPEUTIC ALTERNATIVES INC
Active
Other names
Providence Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH ALAN BURROW (VICE PRESIDENT)
(336) 495-2700
Entity
Organization
Contact information
Practice address
941 E SALISBURY ST, ASHEBORO, NC 27203-5049
(336) 625-1500
(336) 625-2767
Mailing address
PO BOX 814, RANDLEMAN, NC 27317-0814
(336) 495-2700
(336) 495-5552
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
MHL076047
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408682
—
NC
05
—
7801237
—
NC
Enumeration date
06/20/2006
Last updated
06/13/2013
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