Organization
COMMUNITY TREATMENT ALTERNATIVES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA DEPASS (EXECUTIVE DIRECTOR)
(704) 323-9266
Entity
Organization
Contact information
Practice address
4901 ROSENA DR, CHARLOTTE, NC 28227-3007
(704) 563-8400
Mailing address
5410 FREDERICK STREET, INDIAN TRAIL, NC 28079-6509
(704) 323-9266
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301762B
—
NC
Enumeration date
08/06/2007
Last updated
08/06/2007
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