Organization
ALPHA AND OMEGA COMMUNITY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROLISHA A CAIN (EXECUTIVE DIRECTOR)
(910) 824-4480
Entity
Organization
Contact information
Practice address
114 W BROAD ST, DUNN, NC 28334-4857
(910) 892-7416
Mailing address
PO BOX 87416, FAYETTEVILLE, NC 28304-7416
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL-043-076
DAY TREATMENT LICENSE
NC
Enumeration date
04/13/2009
Last updated
04/13/2009
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