| Extended Family Inc | |
|
2300 Center Way S Birmingham AL 35205-6728 | |
| (205) 910-8762 | |
| (205) 777-4023 |
| Full Name | Extended Family Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2300 Center Way S, Birmingham, Alabama |
| Authorized Official Name and Position | Lavoris Michelle Williams (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2059108762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extended Family Inc 2300 Center Way S Birmingham AL 35205-6728 Ph: (205) 910-8762 | Extended Family Inc 2300 Center Way S Birmingham AL 35205-6728 Ph: (205) 910-8762 |
| NPI Number | 1740567890 |
|---|---|
| Provider Enumeration Date | 11/03/2011 |
| Last Update Date | 11/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740567890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Alabama) | Primary |
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