Priodigal Alternative Center Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PRIODIGAL ALTERNATIVE CENTER INC

Practice address

6102 McDougal Dr
Fayetteville, NC 28304-2420

Phone

(910) 822-0235

NPI assigned

Jun 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jeanette Marie Quickbarker, CONSULTANT

Title

Executive Director

Phone

(910) 822-0235

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407051287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 MCDOUGAL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042420",
            "telephone_number": "910-822-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 MCDOUGAL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042420",
            "telephone_number": "910-822-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIODIGAL ALTERNATIVE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUICKBARKER",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-822-0235",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CONSULTANT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Primeaux, IBCLC, RLC
• Lawrence Jamel Primus Sr.
• Janet Prince, BA
• Kathrynne Georgie Prince, DPT
• Printice Tarance Galbreath
• Matthew Weston Prior, DO
• Pristine Care Group, LLC
• Harrison Wade Pritchard
• Private Diagnostic Clinic, PLLC
• Proactive MD NC, PC

• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.