Provider Demographics
NPI:1912216227
Name:ALTERNATIVE INTERVENTION MATTERS, INC.
Entity Type:Organization
Organization Name:ALTERNATIVE INTERVENTION MATTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KESSHA
Authorized Official - Middle Name:BURNS
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-671-4640
Mailing Address - Street 1:204 ROSE PETAL RUN
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-5172
Mailing Address - Country:US
Mailing Address - Phone:919-671-4640
Mailing Address - Fax:919-435-8127
Practice Address - Street 1:204 ROSE PETAL RUN
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-5172
Practice Address - Country:US
Practice Address - Phone:919-671-4640
Practice Address - Fax:919-435-8127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive Care