| Alamance Academy, Llc | |
|
530 Rosenwald St Burlington NC 27217 | |
| (336) 437-4382 | |
| Not Available |
| Full Name | Alamance Academy, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 530 Rosenwald St, Burlington, North Carolina |
| Authorized Official Name and Position | Mollissiee Peterson (OWNER OPERATOR) |
| Authorized Official Contact | 3364374382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alamance Academy, Llc 530 Rosenwald St Burlington NC 27217-2468 Ph: () - | Alamance Academy, Llc 530 Rosenwald St Burlington NC 27217 Ph: (336) 437-4382 |
| NPI Number | 1093157240 |
|---|---|
| Provider Enumeration Date | 07/29/2013 |
| Last Update Date | 05/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093157240 | NPI | - | NPPES |
| 6604306 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL001230 (North Carolina) | Primary |
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