| Jatawans, Inc. | |
|
1354 Antwerp St Mobile AL 36605-4901 | |
| (251) 472-9607 | |
| Not Available |
| Full Name | Jatawans, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1354 Antwerp St, Mobile, Alabama |
| Authorized Official Name and Position | Frandee J Lewis (DIRECTOR) |
| Authorized Official Contact | 2514729607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jatawans, Inc. 1354 Antwerp Street Mobile AL 36605 Ph: () - | Jatawans, Inc. 1354 Antwerp St Mobile AL 36605-4901 Ph: (251) 472-9607 |
| NPI Number | 1407025836 |
|---|---|
| Provider Enumeration Date | 02/29/2008 |
| Last Update Date | 02/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407025836 | NPI | - | NPPES |
| 739100056 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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