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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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