Organization
PREFERRED ALTERNATIVES OF TN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R WILSON JR. (PRESIDENT & CEO)
(910) 483-5744
Entity
Organization
Contact information
Practice address
1 VANTAGE WAY STE 100, NASHVILLE, TN 37228-1515
(615) 259-0175
(615) 259-3770
Mailing address
PO BOX 44105, FAYETTEVILLE, NC 28309-4105
(910) 483-5744
(910) 483-5494
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
L3(20)4M5-085-3042
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00929 E2
—
TN
05
—
00941 M5
—
TN
Enumeration date
02/05/2007
Last updated
08/22/2020
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