Provider Demographics
NPI:1013187004
Name:THERAPEUTIC ALTERNATIVES INCORPORATED
Entity Type:Organization
Organization Name:THERAPEUTIC ALTERNATIVES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:BURROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-495-2700
Mailing Address - Street 1:PO BOX 814
Mailing Address - Street 2:
Mailing Address - City:RANDLEMAN
Mailing Address - State:NC
Mailing Address - Zip Code:27317-0814
Mailing Address - Country:US
Mailing Address - Phone:336-495-2700
Mailing Address - Fax:336-495-5552
Practice Address - Street 1:102 CAMP DR
Practice Address - Street 2:UNIT A
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-5602
Practice Address - Country:US
Practice Address - Phone:919-663-2127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THERAPEUTIC ALTERNATIVES INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-05
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty