is a Rehabilitation, Substance Use Disorder in Montgomery, Alabama. practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for is 1932366911. The last update date is .
's current location address is 386 Saint Lukes Dr, Montgomery, Alabama. You can contact this provider via phone number 3342440702 and fax number 3342772786. The mailing address for is 386 Saint Lukes Dr, Montgomery, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 386 Saint Lukes Dr, Montgomery, Alabama |
| Phone Number | 3342440702 |
| Fax Number | 3342772786 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1932366911 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 386 Saint Lukes Dr |
|---|---|
| City | Montgomery |
| State | Alabama (AL) |
| Post Code | 361177108 |
| Phone Number | 3342440702 |
| Fax Number | 3342772786 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 012-232 | AL | BLUE CROSS ALABAMA- ALL KIDS P |
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