Provider Demographics
NPI:1699008912
Name:CAROLINA ALTERNATIVE SERVICES INC.
Entity Type:Organization
Organization Name:CAROLINA ALTERNATIVE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:TAFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-349-8600
Mailing Address - Street 1:4501 NEW BERN AVE
Mailing Address - Street 2:SUITE 130-122
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-1549
Mailing Address - Country:US
Mailing Address - Phone:919-349-8600
Mailing Address - Fax:919-806-4301
Practice Address - Street 1:2530 MERIDIAN PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-5272
Practice Address - Country:US
Practice Address - Phone:919-349-8600
Practice Address - Fax:919-806-4301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-18
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health