Provider Demographics
NPI:1689421356
Name:ALLC CORPORATION
Entity type:Organization
Organization Name:ALLC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMIKO
Authorized Official - Middle Name:CROMARTIE
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:LCAS, CADC, CSI
Authorized Official - Phone:910-618-6024
Mailing Address - Street 1:45 OPTICAL CT NW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-0061
Mailing Address - Country:US
Mailing Address - Phone:980-270-5500
Mailing Address - Fax:980-985-0672
Practice Address - Street 1:45 OPTICAL CT NW
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-0061
Practice Address - Country:US
Practice Address - Phone:980-270-5500
Practice Address - Fax:980-985-0672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health