| Black Warrior Behavioral Health Llc | |
|
11914 Dunston Cir Northport AL 35475-4629 | |
| (205) 523-5117 | |
| Not Available |
| Full Name | Black Warrior Behavioral Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11914 Dunston Cir, Northport, Alabama |
| Authorized Official Name and Position | Hannah Johnston (OWNER) |
| Authorized Official Contact | 2055235117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Warrior Behavioral Health Llc 2141 Legacy Park Loop Tuscaloosa AL 35404-5231 Ph: (205) 523-5117 | Black Warrior Behavioral Health Llc 11914 Dunston Cir Northport AL 35475-4629 Ph: (205) 523-5117 |
| NPI Number | 1801519178 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801519178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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