| 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 | Residential Treatment Facility, Emotionally Disturbed Children |
| 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 Road Tuscaloosa AL 35405 Ph: (205) 348-7236 | Brewer Porch Children's Center 2501 Woodland Rd Tuscaloosa AL 35404-5028 Ph: (205) 348-7236 |
| NPI Number | 1508823956 |
|---|---|
| Provider Enumeration Date | 04/28/2006 |
| Last Update Date | 08/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508823956 | NPI | - | NPPES |
| 330000027 | Medicaid | AL | |
| 339091603 | Medicaid | AL | |
| 330099027 | Medicaid | AL | |
| 339091703 | Medicaid | AL | |
| RTF0009H | Medicaid | AL | |
| 8400921 | Other | AL | UNITED BEHAVIORAL HEALTH |
| 8400922 | Other | AL | UNITED BEHAVIORAL HEALTH |
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