Provider Demographics
NPI:1205418530
Name:ANOTHER ALTERNATIVE, INC.
Entity Type:Organization
Organization Name:ANOTHER ALTERNATIVE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-306-5010
Mailing Address - Street 1:115 REDFIELD TRCE
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-5715
Mailing Address - Country:US
Mailing Address - Phone:770-306-5010
Mailing Address - Fax:770-306-5001
Practice Address - Street 1:1134 SENOIA RD STE A3
Practice Address - Street 2:
Practice Address - City:TYRONE
Practice Address - State:GA
Practice Address - Zip Code:30290-1622
Practice Address - Country:US
Practice Address - Phone:770-306-5010
Practice Address - Fax:770-306-5001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000744664AMedicaid