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NPI Code Detail

MEDICARE: THERAPEUTIC ALTERNATIVES, INC.

MEDICARE: THERAPEUTIC ALTERNATIVES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932379922
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAPEUTIC ALTERNATIVES, INC.
Provider Business Mailing Address
First Line : PO BOX 814
Second Line :
City : RANDLEMAN
State : NC
Zip : 27317-0814
Country : US
Telephone Number : 336-495-2700
Fax Number : 336-495-5552
Provider Business Practice Location Address
First Line : 106 VILLAGE LAKE RD
Second Line :
City : SILER CITY
State : NC
Zip : 27344-1821
Country : US
Telephone Number : 919-663-2127
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KENNETH A BURROW
Credential :
Telephone Number : 336-495-2700
Provider Enumeration Date : 03/05/2008
Last Update Date : 09/19/2008

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Directions to “THERAPEUTIC ALTERNATIVES, INC. ” Practice Location

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