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Organization
CAHABA CENTER FOR MENTAL HEALTH AND MENTAL RETARDATION
Active
Organization
CAHABA CENTER FOR MENTAL HEALTH AND MENTAL RETARDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE P BEARDEN (EXECUTIVE DIRECTOR)
(334) 875-2100
Entity
Organization
Contact information
Practice address
1017 MEDICAL CENTER PKWY, SELMA, AL 36701-6780
(334) 875-2100
(334) 418-6540
Mailing address
417 MEDICAL CENTER PKWY, SELMA, AL 36701-7703
(334) 875-6068
(334) 872-2084
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005437603
—
AL
05
—
008306000
—
AL
05
—
330000021
—
AL
05
—
330034021
—
AL
05
—
590000021
—
AL
05
—
591600014
—
AL
05
—
591700014
—
AL
Enumeration date
05/03/2006
Last updated
01/11/2023
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