Wiregrass Behavioral Systems, Pc

NPI 1568840460 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1568840460
Enumeration Date 05/12/2015
Last Updated 05/12/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name BASCOM KYLE BASCOM
Position DIRECTOR
Phone (334) 695-2253
Fax
Practice Location
6501 US HIGHWAY 431 N
HEADLAND AL, 36345-5657, US
Phone (334) 695-2253
Fax
Business Location
1358 STATE HIGHWAY 134 E
HEADLAND AL, 36345-8517, US
Phone
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Alabama
License Number DO.1388
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According to our database, Wiregrass Behavioral Systems, Pc NPI is 1568840460, taxonomy code is 2084P0800X and license number is DO.1388, license state is located at Alabama. Wiregrass Behavioral Systems, Pc physically located at 6501 Us Highway 431 N, Headland AL, 36345-5657. NPI Number 1033115704 has the healthcare provider type.

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1568840460 NPI number is provided on an as is basis without warranty of any kind. 1568840460 is maintained by the National Plan & Provider Enumeration System. The contents of Wiregrass Behavioral Systems, Pc are for informational purposes only.