Provider Demographics
NPI:1215073069
Name:WRIGHTS ALTERNATIVE GROUP HOME LLC
Entity type:Organization
Organization Name:WRIGHTS ALTERNATIVE GROUP HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-714-5828
Mailing Address - Street 1:2490 RAILROAD ST
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-9825
Mailing Address - Country:US
Mailing Address - Phone:252-355-4204
Mailing Address - Fax:
Practice Address - Street 1:845 JOHNS HOPKINS DR
Practice Address - Street 2:SUITE B
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-7223
Practice Address - Country:US
Practice Address - Phone:252-329-0093
Practice Address - Fax:252-758-5399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-074-173251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health