| Lopez | |
|
200 Cherry St Troy AL 36081-2044 | |
| (334) 566-6022 | |
| (334) 566-5346 |
| Full Name | Lopez |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 200 Cherry St, Troy, Alabama |
| Authorized Official Name and Position | Malvia G Frye (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 3345666022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lopez 200 Cherry St Troy AL 36081-2044 Ph: (334) 566-6022 | Lopez 200 Cherry St Troy AL 36081-2044 Ph: (334) 566-6022 |
| NPI Number | 1942370630 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 07/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942370630 | NPI | - | NPPES |
| 3323003334 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
East Central Mental Health Mental Retardation, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Cherry St, Troy, AL 36081 Phone: 334-566-6022 Fax: 334-566-5346 | |
Warren Behavioral Care, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 889 Elba Hwy, Troy, AL 36079 Phone: 334-808-8991 Fax: 334-808-8995 | |
East Central Mental Health Mental Retardation, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Cherry St, Troy, AL 36081 Phone: 334-566-6022 Fax: 334-566-5346 | |
East Central Mental Health Mental Retardation, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Cherry St, Troy, AL 36081 Phone: 334-566-6022 Fax: 334-566-5346 | |
East Central Mental Health Mental Retardation, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Cherry St, Troy, AL 36081 Phone: 334-566-6022 Fax: 334-566-5346 | |
Troy Resilience Project Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 S Brundidge St, Troy, AL 36081 Phone: 334-770-0928 | |
East Central Mental Health Mental Retardation, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 200 Cherry St, Troy, AL 36081 Phone: 334-566-6022 Fax: 334-566-5346 |