| Rca Foundation | |
|
4720 Woodmere Blvd Montgomery AL 36106-3065 | |
| (334) 676-3773 | |
| (334) 460-9721 |
| Full Name | Rca Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4720 Woodmere Blvd, Montgomery, Alabama |
| Authorized Official Name and Position | Amy Anderson (ADMINISTRATOR) |
| Authorized Official Contact | 3346763773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rca Foundation 8345 Greenview Dr Jonesboro GA 30236-4150 Ph: (404) 989-2867 | Rca Foundation 4720 Woodmere Blvd Montgomery AL 36106-3065 Ph: (334) 676-3773 |
| NPI Number | 1396367850 |
|---|---|
| Provider Enumeration Date | 05/07/2020 |
| Last Update Date | 05/07/2020 |
| Certification Date | 05/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396367850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
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