Provider Demographics
NPI:1639508443
Name:ALPHA-BEHAVIORAL COMMUNITY SERVICES, INC.
Entity Type:Organization
Organization Name:ALPHA-BEHAVIORAL COMMUNITY SERVICES, INC.
Other - Org Name:ABCS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:RICHARDSON
Authorized Official - Last Name:HENDRICKS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:252-210-2388
Mailing Address - Street 1:713 S PINE ST
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27803-2023
Mailing Address - Country:US
Mailing Address - Phone:252-210-2388
Mailing Address - Fax:
Practice Address - Street 1:107 SE MAIN ST
Practice Address - Street 2:SUITE 414
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27801-5400
Practice Address - Country:US
Practice Address - Phone:252-210-2388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
253Z00000X
NC385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care