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3351 Moffett Rd Mobile AL 36607-1713 | |
| (251) 423-4014 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3351 Moffett Rd, Mobile, Alabama |
| Authorized Official Name and Position | Demetrius Smith (OWNER) |
| Authorized Official Contact | 2515459659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
350 Student Center Cir U3715 Mobile AL 36688-0001 Ph: (251) 545-9659 | 3351 Moffett Rd Mobile AL 36607-1713 Ph: (251) 423-4014 |
| NPI Number | 1760051825 |
|---|---|
| Provider Enumeration Date | 06/23/2021 |
| Last Update Date | 01/08/2025 |
| Certification Date | 01/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760051825 | NPI | - | NPPES |
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