Organization
ALBERTA PROFESSIONAL SERVICES
Active
Parent organization
ALBERTA PROFESSIONAL SERVICES
Other names
Booth Road Group Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALBERTA PROFESSIONAL SERVICES
Authorized official
MR. DEREK MITCHELL BS, QP (OPERATIONS MANAGER)
(336) 273-2640
Entity
Organization
Contact information
Practice address
130 BOOTH RD, CHAPEL HILL, NC 27516-9643
(919) 967-5591
(336) 273-6522
Mailing address
3107 S ELM EUGENE ST, BUILDING A, GREENSBORO, NC 27406-5201
(336) 273-2640
(336) 273-6522
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
MHL-068-138
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7806103
—
NC
Enumeration date
04/23/2009
Last updated
07/26/2016
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