Southwest Alabama Mental Health/Mental Retardation Inc. in Grove Hill - Community/behavioral Health
Southwest Alabama Mental Health/Mental Retardation Inc. - NPI 1104014554
Southwest Alabama Mental Health/Mental Retardation Inc. is a Community/behavioral Health in Grove Hill, Alabama. Southwest Alabama Mental Health/Mental Retardation Inc. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Southwest Alabama Mental Health/Mental Retardation Inc. is 1104014554. The last update date is 2007-10-11.
Southwest Alabama Mental Health/Mental Retardation Inc.'s current location address is 129 Clark St, Grove Hill, Alabama. You can contact this provider via phone number 2512754165. The mailing address for Southwest Alabama Mental Health/Mental Retardation Inc. is 129 Clark St, Grove Hill, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southwest Alabama Mental Health/Mental Retardation Inc. |
|---|---|
| Address | 129 Clark St, Grove Hill, Alabama |
| Phone Number | 2512754165 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LMFT/ COOR |
|---|---|
| Authorized Official Name | Goldman Wayne Michael |
| Credentials | M.A. |
| Telephone Number | 2512754165 |
NPI Number Detail
| NPI Number | 1104014554 |
|---|---|
| Provider Enumeration Date | 2007-10-11 |
| Last Updated Date | 2007-10-11 |
Provider Mailing Address Detail
| Address | 129 Clark St |
|---|---|
| City | Grove Hill |
| State | Alabama (AL) |
| Post Code | 364513050 |
| Phone Number | 2512754165 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | L258 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the Southwest Alabama Mental Health/Mental Retardation Inc.'s 1104014554?
The Southwest Alabama Mental Health/Mental Retardation Inc.'s NPI (National Provider Identifier) Number is 1104014554. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Southwest Alabama Mental Health/Mental Retardation Inc.?
The Southwest Alabama Mental Health/Mental Retardation Inc. is situated at 129 Clark St, in the city of Grove Hill, state of AL, with the zip code 364513050.
What is Southwest Alabama Mental Health/Mental Retardation Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Southwest Alabama Mental Health/Mental Retardation Inc. is Community/behavioral Health, and the taxonomy code that categorizes this field of expertise is 251S00000X.
On what date was the 1104014554 assigned to Southwest Alabama Mental Health/Mental Retardation Inc.?
The Southwest Alabama Mental Health/Mental Retardation Inc. was issued its 1104014554 on 2007-10-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Southwest Alabama Mental Health/Mental Retardation Inc.'s details last updated?
The information pertaining to the Southwest Alabama Mental Health/Mental Retardation Inc., including its address, specialty, and other details, was most recently updated on 2007-10-11.
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