Organization
FAMILY ALTERNATIVES
Active
Parent organization
FAMILY ALTERNATIVES, INC.
Other names
Shining Star Clubhouse
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY ALTERNATIVES, INC.
Authorized official
MILTON TEAGUE (DIRECTOR)
(910) 739-6624
Entity
Organization
Contact information
Practice address
113 JOHN ST, LAURINBURG, NC 28352-3029
(910) 291-9934
Mailing address
113 JOHN ST, LAURINBURG, NC 28352-3029
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301406
—
NC
05
—
8304106S
—
NC
Enumeration date
12/18/2006
Last updated
08/09/2007
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