Healthcare Provider Details

I. General information

NPI: 1609491273
Provider Name (Legal Business Name): ALEF HIGH POINT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2020
Last Update Date: 01/18/2022
Certification Date: 01/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 PHILLIPS AVE STE 107
HIGH POINT NC
27262-7076
US

IV. Provider business mailing address

10019 REISTERSTOWN RD FL 3
OWINGS MILLS MD
21117-3902
US

V. Phone/Fax

Practice location:
  • Phone: 336-522-5095
  • Fax:
Mailing address:
  • Phone: 410-807-8471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: TERRI L EDWARDS
Title or Position: VP
Credential:
Phone: 817-966-2764