Organization
ALPHA COMMUNITY SUPPORT SERVICES, LLC
Active
Parent organization
ALPHA COMMUNITY SUPPORT SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALPHA COMMUNITY SUPPORT SERVICES, LLC
Authorized official
MS. MICHELLE YVETTE ELLERBE MA, QP (OWNER)
(910) 410-0459
Entity
Organization
Contact information
Practice address
415 E CHURCH ST, LAURINBURG, NC 28352-3818
(910) 410-0459
(910) 410-0653
Mailing address
415 E CHURCH ST, LAURINBURG, NC 28352-3818
(910) 410-0459
(910) 410-0653
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302773
—
NC
Enumeration date
03/18/2010
Last updated
03/18/2010
Update your record
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