Provider Demographics
NPI:1578972139
Name:ALTERNATIVE BEHAVIORAL CONCEPTS, LLC
Entity Type:Organization
Organization Name:ALTERNATIVE BEHAVIORAL CONCEPTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-425-5764
Mailing Address - Street 1:231 PEEBLES LN
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27537-9530
Mailing Address - Country:US
Mailing Address - Phone:919-690-9702
Mailing Address - Fax:
Practice Address - Street 1:639 DABNEY DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-3947
Practice Address - Country:US
Practice Address - Phone:252-425-5764
Practice Address - Fax:252-862-2850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-07
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
No251S00000XAgenciesCommunity/Behavioral Health