Provider Demographics
NPI:1801039904
Name:ALTERNATIVE INTERVENTIONS FAMILY SERVICES
Entity Type:Organization
Organization Name:ALTERNATIVE INTERVENTIONS FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SERVICE
Authorized Official - Prefix:MS
Authorized Official - First Name:TOMISE
Authorized Official - Middle Name:DASHIKA
Authorized Official - Last Name:CROSSIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-218-0575
Mailing Address - Street 1:PO BOX 25393
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23260-5393
Mailing Address - Country:US
Mailing Address - Phone:804-218-0575
Mailing Address - Fax:
Practice Address - Street 1:400 TURNER RD
Practice Address - Street 2:SUITE 2
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-6420
Practice Address - Country:US
Practice Address - Phone:804-218-0575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1120251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health