Provider Demographics
NPI:1154675957
Name:ALTERNATIVES IN COMMUNITY TREATMENT, INC.
Entity Type:Organization
Organization Name:ALTERNATIVES IN COMMUNITY TREATMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLIENT SERIVCES
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:SHIPLEY
Authorized Official - Last Name:BONSALL
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:610-647-0800
Mailing Address - Street 1:23 MYSTIC LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-1942
Mailing Address - Country:US
Mailing Address - Phone:610-647-0800
Mailing Address - Fax:610-889-9038
Practice Address - Street 1:23 MYSTIC LN
Practice Address - Street 2:SUITE A
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-1942
Practice Address - Country:US
Practice Address - Phone:610-647-0800
Practice Address - Fax:610-889-9038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-31
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000057643Medicaid