Organization
ALTERNATIVE SUPPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE M SEALS (CEO/OWNER)
(336) 575-0669
Entity
Organization
Contact information
Practice address
2041 MALLARD LAKES DR, WINSTON SALEM, NC 27106-9672
(336) 575-0669
(336) 923-5542
Mailing address
2041 MALLARD LAKES DR, WINSTON SALEM, NC 27106-9672
(336) 575-0669
(336) 923-5542
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/14/2008
Last updated
05/19/2008
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