Organization
ALSTON BRIGHT START MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA MARIE ALSTON (HABILITATION TECH)
(919) 438-5738
Entity
Organization
Contact information
Practice address
134 PARKTOWN RD, WARRENTON, NC 27589-9153
(919) 438-5738
Mailing address
5504 HERALDY CT, KNIGHTDALE, NC 27545-7692
(919) 438-5738
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265299259
NPI
NC
Enumeration date
07/30/2024
Last updated
10/24/2024
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