Provider Demographics
NPI:1720389083
Name:URBAN ALTERNATIVE SOLUTIONS LLC
Entity Type:Organization
Organization Name:URBAN ALTERNATIVE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:SR
Authorized Official - Credentials:LCSW
Authorized Official - Phone:609-396-5931
Mailing Address - Street 1:15 W FRONT ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08608-2013
Mailing Address - Country:US
Mailing Address - Phone:609-396-5931
Mailing Address - Fax:
Practice Address - Street 1:15 W FRONT ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08608-2013
Practice Address - Country:US
Practice Address - Phone:609-396-5931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-03
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1581742251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health