Provider Demographics
NPI:1831799360
Name:ALTERNATIVE INTERVENTIONS, INC.
Entity type:Organization
Organization Name:ALTERNATIVE INTERVENTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:DONALD
Authorized Official - Last Name:BASS
Authorized Official - Suffix:SR
Authorized Official - Credentials:LPC
Authorized Official - Phone:314-910-0078
Mailing Address - Street 1:1512 SUNDOWNER DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-5044
Mailing Address - Country:US
Mailing Address - Phone:314-910-0078
Mailing Address - Fax:
Practice Address - Street 1:500 NW PLAZA DR STE 500
Practice Address - Street 2:
Practice Address - City:SAINT ANN
Practice Address - State:MO
Practice Address - Zip Code:63074-2220
Practice Address - Country:US
Practice Address - Phone:314-910-0078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health