Provider Demographics
NPI:1083934350
Name:ALTERNATIVES IN BEHAVIORAL HEALTH, INC.
Entity Type:Organization
Organization Name:ALTERNATIVES IN BEHAVIORAL HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CAPES
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:727-584-6055
Mailing Address - Street 1:1301 SEMINOLE BLVD
Mailing Address - Street 2:SUITE 169
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-8173
Mailing Address - Country:US
Mailing Address - Phone:727-584-6055
Mailing Address - Fax:727-586-3847
Practice Address - Street 1:1301 SEMINOLE BLVD
Practice Address - Street 2:SUITE 169
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-8173
Practice Address - Country:US
Practice Address - Phone:727-584-6055
Practice Address - Fax:727-586-3847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPPLIED FOR251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health