Provider Demographics
NPI:1437597523
Name:ALTERNATIVES BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:ALTERNATIVES BEHAVIORAL HEALTH, LLC
Other - Org Name:ALTERNATIVES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR, ORGANIZER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:F
Authorized Official - Last Name:KERN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:888-532-9137
Mailing Address - Street 1:822 S ROBERTSON BLVD STE 300308
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-1613
Mailing Address - Country:US
Mailing Address - Phone:888-532-9137
Mailing Address - Fax:888-739-6925
Practice Address - Street 1:822 S ROBERTSON BLVD STE 300
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-1640
Practice Address - Country:US
Practice Address - Phone:888-532-9137
Practice Address - Fax:888-739-6925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-11
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY8246103TA0400X
CA190829AP261QR0405X, 324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderGroup - Multi-Specialty
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility