Provider Type Icon

WOODBRIDGE ALTERNATIVE INC NPI 1295874527


NPI Information

NPI: 1295874527
Provider Name: WOODBRIDGE ALTERNATIVE, INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1480 PAMALEE DR
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 488-9570
Get Directions

WOODBRIDGE ALTERNATIVE, INC is a community behavioral health in Fayetteville, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. WOODBRIDGE ALTERNATIVE, INC NPI is 1295874527. The provider is registered as an organization entity type.

The provider's business location address is:

1480 PAMALEE DR
FAYETTEVILLE, NC
ZIP 28303-928
Phone: (910) 488-9570
Fax: (910) 822-0111

The provider's authorized official is Leon Robinson .
The authorized official title is Vice-president and has the following contact phone number (910) 488-9570.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 4/24/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
2322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL026718NORTH CAROLINANo
3322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL026705NORTH CAROLINANo
4322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL026680NORTH CAROLINANo
5322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL065161NORTH CAROLINANo
6322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL065155NORTH CAROLINANo
7322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL026477NORTH CAROLINANo
8322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL026464NORTH CAROLINANo
9322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL026707NORTH CAROLINANo
10322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL026454NORTH CAROLINANo
11322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL009019NORTH CAROLINANo
12322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL026557NORTH CAROLINANo
13322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL026618NORTH CAROLINANo
14322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL024052NORTH CAROLINANo
15251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16603046MEDICAIDNORTH CAROLINA
26603136MEDICAIDNORTH CAROLINA
36603589MEDICAIDNORTH CAROLINA
48301341BMEDICAIDNORTH CAROLINA
56005215MEDICAIDNORTH CAROLINA
66603284MEDICAIDNORTH CAROLINA
76603283MEDICAIDNORTH CAROLINA
88301341HMEDICAIDNORTH CAROLINA
96603282MEDICAIDNORTH CAROLINA
106603588MEDICAIDNORTH CAROLINA
116603603MEDICAIDNORTH CAROLINA
128301341MEDICAIDNORTH CAROLINA
136005216MEDICAIDNORTH CAROLINA
146603044MEDICAIDNORTH CAROLINA
156603233MEDICAIDNORTH CAROLINA
166603733MEDICAIDNORTH CAROLINA
176603045MEDICAIDNORTH CAROLINA
186603325MEDICAIDNORTH CAROLINA
198301341GMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.