| Blanket Fort Hope | |
|
24809 Alabama Highway 25 Columbiana AL 35051-3512 | |
| (205) 602-4892 | |
| (205) 602-4892 |
| Full Name | Blanket Fort Hope |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 24809 Alabama Highway 25, Columbiana, Alabama |
| Authorized Official Name and Position | Kimberly W Mashego (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2056024892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blanket Fort Hope Po Box 212 Columbiana AL 35051-0212 Ph: (205) 602-4892 | Blanket Fort Hope 24809 Alabama Highway 25 Columbiana AL 35051-3512 Ph: (205) 602-4892 |
| NPI Number | 1255195897 |
|---|---|
| Provider Enumeration Date | 02/13/2024 |
| Last Update Date | 02/13/2024 |
| Certification Date | 02/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255195897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |