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1909 Commerce Ave Cullman AL 35055-6151 | |
(256) 734-4688 | |
(256) 736-5638 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1909 Commerce Ave, Cullman, Alabama |
Authorized Official Name and Position | Chris Van Dyke (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2567344688 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2186 Cullman AL 35056-2186 Ph: (256) 734-4688 | 1909 Commerce Ave Cullman AL 35055-6151 Ph: (256) 734-4688 |
NPI Number | 1851566327 |
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Provider Enumeration Date | 04/25/2008 |
Last Update Date | 06/19/2009 |
Identifier | Type | State | Issuer |
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1851566327 | NPI | - | NPPES |
1851566327 | Other | AL | ALL KIDS PLUS |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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