Organization
TJA FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISSA BOWLES ALSTON (MEMBER)
(336) 558-4479
Entity
Organization
Contact information
Practice address
234 N MADISON BLVD, ROXBORO, NC 27573-5302
(336) 558-4479
Mailing address
4613 BARN OWL CT, GREENSBORO, NC 27406-8065
(336) 558-4479
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NC
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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