| Community Based Learning Alternatives Center Inc | |
|
212 Bridge St Smithfield NC 27577-3963 | |
| (919) 938-4344 | |
| (919) 938-4342 |
| Full Name | Community Based Learning Alternatives Center Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 212 Bridge St, Smithfield, North Carolina |
| Authorized Official Name and Position | Janet M Wise (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9199891786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Based Learning Alternatives Center Inc 1300 W Market St Smithfield NC 27577-3339 Ph: (919) 989-1786 | Community Based Learning Alternatives Center Inc 212 Bridge St Smithfield NC 27577-3963 Ph: (919) 938-4344 |
| NPI Number | 1003001082 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 09/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003001082 | NPI | - | NPPES |
| 5901780 | Medicaid | NC | |
| 6600860 | Medicaid | NC | |
| 6005614 | Medicaid | NC | |
| 8301075 | Medicaid | NC | |
| 8700356 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL 051 161 (North Carolina) | Primary |
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