Provider Demographics
NPI:1558596684
Name:ACCESS NC, LLC
Entity Type:Organization
Organization Name:ACCESS NC, LLC
Other - Org Name:THE CENTER FOR ALTERNATIVE RESOURCES AND EDUCATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARITA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-460-8522
Mailing Address - Street 1:659 CARY TOWNE BLVD
Mailing Address - Street 2:#203
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4219
Mailing Address - Country:US
Mailing Address - Phone:919-460-8522
Mailing Address - Fax:919-460-8502
Practice Address - Street 1:335 MAIN ST
Practice Address - Street 2:
Practice Address - City:NAVASSA
Practice Address - State:NC
Practice Address - Zip Code:28451-7631
Practice Address - Country:US
Practice Address - Phone:919-460-8522
Practice Address - Fax:919-460-8502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL010070251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health