Alpha Counseling & Dwi Services

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

ALPHA COUNSELING & DWI SERVICES

Practice address

132 W Elwood Ave
Raeford, NC 28376-2802

Phone

(910) 875-0070

Fax

(910) 875-0072

NPI assigned

Mar 30, 2007

Organization subpart

No

Name

Mr. George Elliott, MA, LCAS, LPC

Title

Executive Director

Phone

(910) 875-0070

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 3, 2008.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1295855690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W ELWOOD AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762802",
            "telephone_number": "910-875-0070",
            "fax_number": "910-875-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W ELWOOD AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762802",
            "telephone_number": "910-875-0070",
            "fax_number": "910-875-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA COUNSELING & DWI SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-875-0070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LCAS, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "4122",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.