Provider Demographics
NPI:1669663456
Name:ANOTHER DAY, INC.
Entity Type:Organization
Organization Name:ANOTHER DAY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLIVIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:MILBURN
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:704-568-0790
Mailing Address - Street 1:3145 DRIFTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-6505
Mailing Address - Country:US
Mailing Address - Phone:704-568-0790
Mailing Address - Fax:
Practice Address - Street 1:3145 DRIFTWOOD DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-6505
Practice Address - Country:US
Practice Address - Phone:704-568-0790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANOTHER DAY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL060946251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8301760Medicaid