| Tuscaloosa Juvenile Detention Center | |
|
6001 12th Ave E Tuscaloosa AL 35405-5163 | |
| (205) 349-3131 | |
| (205) 349-3196 |
| Full Name | Tuscaloosa Juvenile Detention Center |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 6001 12th Ave E, Tuscaloosa, Alabama |
| Authorized Official Name and Position | John Faile (ADMIN) |
| Authorized Official Contact | 2053493131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tuscaloosa Juvenile Detention Center 6001 12th Ave E Tuscaloosa AL 35405-5163 Ph: (205) 349-3131 | Tuscaloosa Juvenile Detention Center 6001 12th Ave E Tuscaloosa AL 35405-5163 Ph: (205) 349-3131 |
| NPI Number | 1750480752 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750480752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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