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1912 Commerce Ave Cullman AL 35055-6150 | |
| (256) 739-5595 | |
| (256) 739-5375 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1912 Commerce Ave, Cullman, Alabama |
| Authorized Official Name and Position | Jay Higham (CEO) |
| Authorized Official Contact | 2143656112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5001 Spring Valley Rd Suite 600 East Dallas TX 75244 Ph: (214) 365-6100 | 1912 Commerce Ave Cullman AL 35055-6150 Ph: (256) 739-5595 |
| NPI Number | 1316510985 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316510985 | NPI | - | NPPES |
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