Provider Demographics
NPI:1083868996
Name:ALTERNATIVE HOUSE, INC
Entity Type:Organization
Organization Name:ALTERNATIVE HOUSE, INC
Other - Org Name:LA PASADA
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CASH
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:505-242-3799
Mailing Address - Street 1:2206 4TH ST NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-1053
Mailing Address - Country:US
Mailing Address - Phone:505-242-3799
Mailing Address - Fax:505-247-0485
Practice Address - Street 1:2206 4TH ST NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-1053
Practice Address - Country:US
Practice Address - Phone:505-242-3799
Practice Address - Fax:505-247-0485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health