Organization
COMMUNITY ALTERNATIVE HOUSING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILBERT NICHOLS III LPCA (PRESIDENT)
(910) 486-8989
Entity
Organization
Contact information
Practice address
2905 BREEZEWOOD AVE, SUITE 104, FAYETTEVILLE, NC 28303-5503
(910) 486-8989
(910) 826-3695
Mailing address
PO BOX 87195, FAYETTEVILLE, NC 28304-7195
(910) 486-8989
(910) 826-3695
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8700455
—
NC
Enumeration date
08/31/2007
Last updated
04/10/2014
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