Organization
HEARTFELT ALTERNATIVES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABATHA EVA MOORE PLCSW (DIRECTOR)
(919) 844-7770
Entity
Organization
Contact information
Practice address
1100 LOGGER CT, SUITE C100, RALEIGH, NC 27609-8525
(919) 844-7770
(919) 844-7771
Mailing address
1100 LOGGER CT, SUITE C100, RALEIGH, NC 27609-8525
(919) 844-7770
(919) 844-7771
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8703187
—
NC
Enumeration date
02/02/2011
Last updated
07/23/2013
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