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Contact Information

JENNYL ALLEY
4908 SPRING MEADOW LN
MONROE, NC28110-9001
 Phone: 704-996-5179
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1235368259
Entity Organization
Organization subpart 1 Not specified
Enumeration date 07/12/2009
Last updated 11/07/2013 - About 13 years ago
Identifiers
NC Medicaid 251S00000X
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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