Provider Demographics
NPI:1528121498
Name:UNITED ALTERNATIVES
Entity type:Organization
Organization Name:UNITED ALTERNATIVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:BILLER
Authorized Official - Phone:954-587-7771
Mailing Address - Street 1:882 NE 79TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-4714
Mailing Address - Country:US
Mailing Address - Phone:305-758-9284
Mailing Address - Fax:954-587-8622
Practice Address - Street 1:882 NE 79TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33138-4714
Practice Address - Country:US
Practice Address - Phone:305-758-9284
Practice Address - Fax:954-587-8622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1113AD763901324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility