Provider Demographics
NPI:1497335350
Name:NATIONAL ALTERNATIVE COMMUNITY HEALTH CENTER, LLC
Entity Type:Organization
Organization Name:NATIONAL ALTERNATIVE COMMUNITY HEALTH CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:WORSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-346-9655
Mailing Address - Street 1:12715 VININGS CREEK DR APT 833
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-5135
Mailing Address - Country:US
Mailing Address - Phone:704-574-8182
Mailing Address - Fax:
Practice Address - Street 1:9506 HOSPITAL AVENUE
Practice Address - Street 2:
Practice Address - City:NASSAWADOX
Practice Address - State:VA
Practice Address - Zip Code:23413
Practice Address - Country:US
Practice Address - Phone:704-574-8182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIONAL ALTERNATIVE COMMUNITY HEALTH CENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-13
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty