Provider Demographics
NPI:1568634053
Name:A NEW VISION OF ALAMANCE,LLC
Entity Type:Organization
Organization Name:A NEW VISION OF ALAMANCE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:HAGGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-222-7001
Mailing Address - Street 1:PO BOX 2661
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27216-2661
Mailing Address - Country:US
Mailing Address - Phone:336-222-7001
Mailing Address - Fax:
Practice Address - Street 1:103 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217-1338
Practice Address - Country:US
Practice Address - Phone:336-222-7001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children