Provider Demographics
NPI:1891811006
Name:ALTERNATIVE CARE TREATMENTS SYSTEMS
Entity Type:Organization
Organization Name:ALTERNATIVE CARE TREATMENTS SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:LEONARD
Authorized Official - Last Name:HEDGEPETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-826-3694
Mailing Address - Street 1:PO BOX 1261
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28302-1261
Mailing Address - Country:US
Mailing Address - Phone:910-826-3694
Mailing Address - Fax:910-826-3695
Practice Address - Street 1:2517 WATSON AVE
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27332-6143
Practice Address - Country:US
Practice Address - Phone:919-774-1800
Practice Address - Fax:919-774-1926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8302043Medicaid
8302043BOtherMEDICAID CSS ATTENDING
NC=========OtherTAX ID