| Southwest Alabama Mental Health/mental Retardation Inc. | |
|
129 Clark St Grove Hill AL 36451-3050 | |
| (251) 275-4165 | |
| Not Available |
| Full Name | Southwest Alabama Mental Health/mental Retardation Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 129 Clark St, Grove Hill, Alabama |
| Authorized Official Name and Position | Michael Wayne Goldman (LMFT/ COORDINATOR CLARKE COUNTY) |
| Authorized Official Contact | 2512754165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Alabama Mental Health/mental Retardation Inc. 129 Clark St Grove Hill AL 36451-3050 Ph: () - | Southwest Alabama Mental Health/mental Retardation Inc. 129 Clark St Grove Hill AL 36451-3050 Ph: (251) 275-4165 |
| NPI Number | 1104014554 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 10/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104014554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | L258 (Alabama) | Primary |
Southern Oak Psyc Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 295 South Jackson Street, Grove Hill, AL 36451 Phone: 251-275-3191 Fax: 251-275-4281 | |
Southern Oaks Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 295 S Jackson St, Grove Hill, AL 36451 Phone: 251-275-3191 Fax: 251-275-4281 |