Organization
PROFESSIONAL ALTERNATIVE VISIONS LLC
Active
Organization
PROFESSIONAL ALTERNATIVE VISIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ANN VINSON QMHP-C/A (DIRECTOR)
(252) 396-5288
Entity
Organization
Contact information
Practice address
215 HOLLOMAN RD, AHOSKIE, NC 27910-9655
(252) 396-5288
Mailing address
215 HOLLOMAN RD, AHOSKIE, NC 27910-9655
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
02/10/2017
Last updated
10/03/2023
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