Individual
MRS. CHARLMAYNE SEABERRY ALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1733 HODGE RD, KNIGHTDALE, NC 27545-9588
(919) 798-8638
(919) 872-5412
Mailing address
6701 LITCHFORD RD, RALEIGH, NC 27615-7112
(919) 798-8638
(919) 872-5412
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL092631
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL092633
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL092247
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805399
—
NC
05
—
7805406
—
NC
Enumeration date
05/22/2007
Last updated
07/02/2008
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