Organization
COMMUNITY ALTERNATIVE HOUSING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILBERT NICHOLS III (PRESIDENT)
(910) 826-3694
Entity
Organization
Contact information
Practice address
2429 GRAY GOOSE LOOP, FAYETTEVILLE, NC 28306-7796
(910) 826-3694
Mailing address
PO BOX 1721, FAYETTEVILLE, NC 28302-1721
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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