COMMUNITY BASED LEARNING ALTERNATIVES CENTER INC NPI 1003001082

Community/Behavioral Health in Smithfield, NC

About COMMUNITY BASED LEARNING ALTERNATIVES CENTER INC

Community Based Learning Alternatives Center Inc is a provider in Smithfield, NC. The NPI number assigned to this provider is 1003001082. The practitioner's primary taxonomy code is Community/Behavioral Health (251S00000X). The provider is registered as an organization and their NPI record was last updated 11 years ago.

NPI

1003001082

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameCOMMUNITY BASED LEARNING ALTERNATIVES CENTER INC
Provider Location Address212 BRIDGE ST SMITHFIELD, NC 27577 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1300 W MARKET ST SMITHFIELD, NC 27577 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-12-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-12-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code251S00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCommunity/Behavioral Health
TypeAgencies
License No.MHL 051 161
License StateNC
Taxonomy DescriptionA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Business Address

COMMUNITY BASED LEARNING ALTERNATIVES CENTER INC
212 BRIDGE ST
SMITHFIELD, NC
ZIP 27577
Phone: (919) 938-4344
Fax: (919) 938-4342

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Mailing Address

COMMUNITY BASED LEARNING ALTERNATIVES CENTER INC
1300 W MARKET ST
SMITHFIELD, NC
ZIP 27577
Phone: (919) 989-1786
Fax: (919) 989-1791

Authorized Official

Authorized Official NameDR. JANET M WISE Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(919) 989-1786

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
6600860MEDICAID (05)NC
5901780MEDICAID (05)NC
6005614MEDICAID (05)NC
8700356MEDICAID (05)NC
8301075MEDICAID (05)NC

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083758031FEED HIS SHEEP MINISTRIES, INC.
Organization
Community/Behavioral Health212 BRIDGE ST
SMITHFIELD, NC 27577
(919) 938-4344
Previous NPI
1003001074
Next NPI
1003001090