Provider Demographics
NPI:1982003927
Name:THERAPEUTIC ALTERNATIVES
Entity Type:Organization
Organization Name:THERAPEUTIC ALTERNATIVES
Other - Org Name:COMMUNITY TREATMENT SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCHWALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-642-9090
Mailing Address - Street 1:236 W ROUTE 38
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3276
Mailing Address - Country:US
Mailing Address - Phone:856-642-9090
Mailing Address - Fax:
Practice Address - Street 1:1 HOPEWELL AVE
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-9576
Practice Address - Country:US
Practice Address - Phone:856-642-9090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-15
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251S00000X, 322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0407721Medicaid