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ALPHA DELTA FAMILY SERVICES GROUP INC. NPI 1982740205


NPI Information

NPI: 1982740205
Provider Name: ALPHA DELTA FAMILY SERVICES GROUP, INC.

Other Name: JACOBS TREE HOUSE

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
7612 N NC HIGHWAY 49
MEBANE, NC
ZIP 27302
Phone: (336) 562-5300
Get Directions

ALPHA DELTA FAMILY SERVICES GROUP, INC. is a residential treatment facility emotionally disturbed children in Mebane, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. ALPHA DELTA FAMILY SERVICES GROUP, INC. NPI is 1982740205. The provider is registered as an organization entity type.
The provider Other Name Is Jacobs Tree House.

The provider's business location address is:

7612 N NC HIGHWAY 49
MEBANE, NC
ZIP 27302-519
Phone: (336) 562-5300
Fax: (336) 562-5500

The provider's authorized official is Trina D Torain .
The authorized official title is Qualified Professional and has the following contact phone number (336) 562-5300.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-068-111NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16603634MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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