| Chicken | |
|
123 Main Street Tuskegee AL 36088 | |
| (334) 727-4306 | |
| Not Available |
| Full Name | Chicken |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 123 Main Street, Tuskegee, Alabama |
| Authorized Official Name and Position | Monroe Austin (CAO) |
| Authorized Official Contact | 3347274306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicken 123 Mainstreet Tuskegee AL 36088 Ph: () - | Chicken 123 Main Street Tuskegee AL 36088 Ph: (334) 727-4306 |
| NPI Number | 1720314156 |
|---|---|
| Provider Enumeration Date | 10/20/2009 |
| Last Update Date | 10/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720314156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Tuskegee University Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Basil O'oconnor Hall, Tuskegee, AL 36088 Phone: 334-727-8184 | |
Life Enhancement Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Eastside St., 103, Tuskegee, AL 36083 Phone: 704-727-1122 Fax: 334-727-7277 |