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COMMUNITY BASED LEARNING ALTERNATIVES CENTER INC NPI 1003001082

NPI Profile

NPI: 1003001082
Provider Name: COMMUNITY BASED LEARNING ALTERNATIVES CENTER INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
212 BRIDGE ST
SMITHFIELD, NC
ZIP 27577
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Phone: (919) 938-4344

COMMUNITY BASED LEARNING ALTERNATIVES CENTER INC is a healthcare provider in Smithfield, NC.The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. COMMUNITY BASED LEARNING ALTERNATIVES CENTER INC NPI is 1003001082. The provider is registered as an organization entity type.

The provider's business location address is:

212 BRIDGE ST
SMITHFIELD, NC
ZIP 27577-963
Phone: (919) 938-4344
Fax: (919) 938-4342

The provider's authorized official is Janet M Wise .
The authorized official title is Executive Director and has the following contact phone number (919) 989-1786.

The enumeration date for this NPI number is 9/12/2007 and was last updated on 9/12/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthMHL 051 161NORTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16600860MEDICAIDNORTH CAROLINA
25901780MEDICAIDNORTH CAROLINA
36005614MEDICAIDNORTH CAROLINA
48700356MEDICAIDNORTH CAROLINA
58301075MEDICAIDNORTH 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: 12/9/2018

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