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4040 Independence Dr Nw Huntsville AL 35816-3012 | |
| (256) 721-1940 | |
| (256) 721-1934 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4040 Independence Dr Nw, Huntsville, 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 Road Suite 600 East Dallas TX 75244 Ph: (214) 365-6100 | 4040 Independence Dr Nw Huntsville AL 35816-3012 Ph: (256) 721-1940 |
| NPI Number | 1962178442 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962178442 | NPI | - | NPPES |
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