| Brewer Porch Children's Center | |
|
2501 Woodland Rd Tuscaloosa AL 35404-5028 | |
| (205) 348-7236 | |
| (205) 348-9368 |
| Full Name | Brewer Porch Children's Center |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2501 Woodland Rd, Tuscaloosa, Alabama |
| Authorized Official Name and Position | James William Thompson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2053489340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brewer Porch Children's Center 2501 Woodland Rd Tuscaloosa AL 35404-5028 Ph: (205) 348-7236 | Brewer Porch Children's Center 2501 Woodland Rd Tuscaloosa AL 35404-5028 Ph: (205) 348-7236 |
| NPI Number | 1245401447 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245401447 | NPI | - | NPPES |
| 330099027 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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Brewer Porch Childre's Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Woodland Rd, Tuscaloosa, AL 35404 Phone: 205-348-7236 Fax: 205-348-9368 | |
Brewer Porch Children's Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Woodland Rd, Tuscaloosa, AL 35404 Phone: 205-348-7236 | |
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