Organization
FAMILY ALTERNATIVES, INC
Active
Other names
Scothfair Group Home #2
Organization subpart
No
Provider details
NPI number
Authorized official
MILTON TEAGUE JR. (DIRECTOR)
(910) 739-6624
Entity
Organization
Contact information
Practice address
13880 FRANCIS ST, GIBSON, NC 28343-8360
(910) 268-4464
Mailing address
13880 FRANCIS ST, GIBSON, NC 28343-8360
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802033
—
NC
Enumeration date
03/02/2007
Last updated
01/08/2010
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