Priodigal Alternative Center Inc in Fayetteville - Community/behavioral Health
Priodigal Alternative Center Inc - NPI 1407051287
Priodigal Alternative Center Inc is a Community/behavioral Health in Fayetteville, North Carolina. Priodigal Alternative Center Inc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Priodigal Alternative Center Inc is 1407051287. The last update date is 2020-08-22.
Priodigal Alternative Center Inc's current location address is 6102 Mcdougal Dr, Fayetteville, North Carolina. You can contact this provider via phone number 9108220235. The mailing address for Priodigal Alternative Center Inc is 6102 Mcdougal Dr, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Priodigal Alternative Center Inc |
|---|---|
| Address | 6102 Mcdougal Dr, Fayetteville, North Carolina |
| Phone Number | 9108220235 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Quickbarker Marie Jeanette |
| Credentials | CONSULTANT |
| Telephone Number | 9108220235 |
NPI Number Detail
| NPI Number | 1407051287 |
|---|---|
| Provider Enumeration Date | 2007-06-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6102 Mcdougal Dr |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283042420 |
| Phone Number | 9108220235 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: 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 dis |
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What is the unique identification code assigned to Priodigal Alternative Center Inc by the Centers for Medicare & Medicaid Services?
The Priodigal Alternative Center Inc has been issued the NPI (National Provider Identifier) 1407051287. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Priodigal Alternative Center Inc?
The Priodigal Alternative Center Inc is physically situated at 6102 Mcdougal Dr, in the city of Fayetteville, state of NC, with the postal code 283042420.
What is the Priodigal Alternative Center Inc's specialty and taxonomy code?
The Priodigal Alternative Center Inc's specialty is Community/behavioral Health, and the corresponding taxonomy code is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407051287 to Priodigal Alternative Center Inc?
The Priodigal Alternative Center Inc received its 1407051287 assignment from the Centers for Medicare & Medicaid Services on 2007-06-20.
As of what date were the details related to Priodigal Alternative Center Inc most recently updated or revised?
The information pertaining to Priodigal Alternative Center Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.