Provider Demographics
NPI:1740563501
Name:A NEW DIMENSION SUBSTANCE ABUSE COUNSELING SERVICE
Entity Type:Organization
Organization Name:A NEW DIMENSION SUBSTANCE ABUSE COUNSELING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALGER
Authorized Official - Middle Name:
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:CSAC, ICADC
Authorized Official - Phone:828-759-2921
Mailing Address - Street 1:PO BOX 1026
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-1026
Mailing Address - Country:US
Mailing Address - Phone:828-759-2921
Mailing Address - Fax:828-759-0701
Practice Address - Street 1:116 MAIN ST NW
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-5417
Practice Address - Country:US
Practice Address - Phone:828-759-2921
Practice Address - Fax:828-759-0701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-014-050324500000X
NC50428324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility