Community Alternative Housing, Inc | |
304 S Steele St Sanford NC 27330-4238 | |
(919) 774-1800 | |
Not Available |
Full Name | Community Alternative Housing, Inc |
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Speciality | Community/Behavioral Health |
Location | 304 S Steele St, Sanford, North Carolina |
Authorized Official Name and Position | Wilbert Nichols (PRESIDENT) |
Authorized Official Contact | 9104868989 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Alternative Housing, Inc Po Box 87195 Fayetteville NC 28304-7195 Ph: () - | Community Alternative Housing, Inc 304 S Steele St Sanford NC 27330-4238 Ph: (919) 774-1800 |
NPI Number | 1174959464 |
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Provider Enumeration Date | 09/19/2013 |
Last Update Date | 07/11/2016 |
Medicare PECOS PAC ID | 9436385895 |
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Medicare Enrollment ID | O20131114000182 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174959464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Christina S Earley |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770926842 PECOS PAC ID: 8820210271 Enrollment ID: I20141119001431 |
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