| Mental Health Center-sa | |
|
619 19th Street South Birmingham AL 35233 | |
| (205) 934-6600 | |
| Not Available |
| Full Name | Mental Health Center-sa |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 619 19th Street South, Birmingham, Alabama |
| Authorized Official Name and Position | Reid F Jones (EXEC VP) |
| Authorized Official Contact | 2057319600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Center-sa Po Box 55309 Birmingham AL 35255-5309 Ph: () - | Mental Health Center-sa 619 19th Street South Birmingham AL 35233 Ph: (205) 934-6600 |
| NPI Number | 1790879153 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790879153 | NPI | - | NPPES |
| 330034005 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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