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Organization

COMMUNITY ALTERNATIVE INC

Active
Other names
Community Choices Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MISTY FULK (VP, QUALITY & SERVICE INTEGRATION)
(704) 533-0166
Entity
Organization

Contact information

Practice address
410 N CENTER DR STE 200, NORFOLK, VA 23502-0006
(757) 468-7000
Mailing address
5800 EXECUTIVE CENTER DR STE 100, CHARLOTTE, NC 28212-8859
(704) 336-4844
(704) 227-0690

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
MHL032391
NC
251S00000X
Community/Behavioral Health Agency
MHL034217
NC
251S00000X
Community/Behavioral Health Agency
Primary
MHL060441
NC
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8300424
NC
05
8301567
NC
05
8301970
NC
05
8970
NC
Enumeration date
09/13/2006
Last updated
12/01/2020
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