Organization
INNOVATIVE PROGRAMMING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICE DELORIS SMITH (EXECUTIVE DIRECTOR)
(910) 484-1869
Entity
Organization
Contact information
Practice address
131 HAY ST, SUITE 201, FAYETTEVILLE, NC 28301-5649
(910) 484-1869
(910) 483-8515
Mailing address
131 HAY ST, SUITE 201, FAYETTEVILLE, NC 28301-5649
(910) 484-1869
(910) 483-8515
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-026-276
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300767
—
NC
Enumeration date
10/05/2006
Last updated
08/22/2020
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