Organization
ALPHA DELTA FAMILY SERVICES GRP. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE CREWS III (EXECUTIVE DIRECTOR)
(919) 630-6589
Entity
Organization
Contact information
Practice address
508 HWY 86 N, HILLSBOROUGH, NC 27278
(919) 643-4004
Mailing address
7612 NC HWY 49, MEBANE, NC 27302-7519
(336) 562-5300
(336) 562-5500
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603634
—
NC
Enumeration date
10/10/2008
Last updated
10/10/2008
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