Basic Information
| Provider Information | |||||||||
| NPI: | 1952480261 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FAMILY ALTERNATIVES, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 963 | ||||||||
| Address2: | |||||||||
| City: | LUMBERTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283590963 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9107396624 | ||||||||
| FaxNumber: | 9107396781 | ||||||||
| Practice Location | |||||||||
| Address1: | 941 S MCPHERSON CHURCH RD | ||||||||
| Address2: | |||||||||
| City: | FAYETTEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283035369 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9106091717 | ||||||||
| FaxNumber: | 9104339154 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/06/2006 | ||||||||
| LastUpdateDate: | 11/19/2010 | ||||||||
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| AuthorizedOfficialLastName: | OXENDINE | ||||||||
| AuthorizedOfficialFirstName: | LAVERN | ||||||||
| AuthorizedOfficialMiddleName: | S | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR/CEO | ||||||||
| AuthorizedOfficialTelephone: | 9106091717 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251B00000X | N | Agencies | Case Management | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.