Provider Demographics
NPI:1881084119
Name:ALTERNATIVE FAMILY & COMMUNITY SERVICES
Entity type:Organization
Organization Name:ALTERNATIVE FAMILY & COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NEGATHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON-ARDOIN
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:225-205-1824
Mailing Address - Street 1:PO BOX 41497
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70835-1497
Mailing Address - Country:US
Mailing Address - Phone:225-205-1824
Mailing Address - Fax:
Practice Address - Street 1:203 E OAK ST
Practice Address - Street 2:
Practice Address - City:AMITE
Practice Address - State:LA
Practice Address - Zip Code:70422-2817
Practice Address - Country:US
Practice Address - Phone:225-205-1824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-26
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services