Organization
ALBERTA PROFESSIONAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK MITCHELL (BUSINESS MANAGER)
(336) 273-2640
Entity
Organization
Contact information
Practice address
1000 REVOLUTION MILL DR, STUDIO 2, GREENSBORO, NC 27405-5042
(336) 273-2640
(336) 273-6522
Mailing address
1000 REVOLUTION MILL DR, STUDIO 2, GREENSBORO, NC 27405-5042
(336) 273-2640
(336) 273-6522
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
MHL-041-768
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-034-108
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-041-068
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-041-125
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-041-152
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-041-164
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-041-229
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-041-553
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418317
—
NC
05
—
6603001
—
NC
05
—
6603003
—
NC
05
—
6603016
—
NC
05
—
6603018
—
NC
05
—
6603140
—
NC
05
—
6603533
—
NC
05
—
8301821B
—
NC
Enumeration date
12/27/2006
Last updated
09/11/2025
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