Wiregrass Mental Health Board Inc

NPI 1568638534 - Clinic/Center - 261QM0801X

NPI Details
NPI 1568638534
Enumeration Date 04/30/2008
Last Updated 04/30/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MELISSA MELISSA
Position EXECUTIVE DIRECTOR
Phone (334) 794-0731
Fax
Practice Location
134 PREVATT RD
DOTHAN AL, 36301-5427, US
Phone (334) 794-0731
Fax
Business Location
PO BOX 1245
2694 SOUTH PARK AVE.
DOTHAN AL, 36302-1245, US
Phone (334) 712-2720
Fax (334) 712-2727
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
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According to our database, Wiregrass Mental Health Board Inc NPI is 1568638534, taxonomy code is 261QM0801X Wiregrass Mental Health Board Inc physically located at 134 Prevatt Rd, Dothan AL, 36301-5427. NPI Number 1033115704 has the healthcare provider type.

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1568638534 NPI number is provided on an as is basis without warranty of any kind. 1568638534 is maintained by the National Plan & Provider Enumeration System. The contents of Wiregrass Mental Health Board Inc are for informational purposes only.