Healthcare Provider Details

I. General information

NPI: 1487894903
Provider Name (Legal Business Name): PREFERRED ALTERNATIVES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2009
Last Update Date: 02/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 GLENWOOD AVE SUITE 301
RALEIGH NC
27603-1249
US

IV. Provider business mailing address

410 GLENWOOD AVE SUITE 301
RALEIGH NC
27603-1249
US

V. Phone/Fax

Practice location:
  • Phone: 919-834-6608
  • Fax:
Mailing address:
  • Phone: 919-834-6608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number1385
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1385
License Number StateNC

VIII. Authorized Official

Name: CONNIE LUCERO-FLOOD
Title or Position: RECOVERY ADMINISTRATOR
Credential: MSW
Phone: 919-834-6608