# ASPEN FAMILY CENTER OF ALABAMA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154729622
- **Authorized official:** TANYA MARIE ODANIEL LCSW (DIRECTOR)
- **Authorized official phone:** (937) 726-8629

## Contact information

- **Practice address:** 336 RICHMAR DR, MOUNTAIN BRK, AL 35213-4418
- **Practice address phone:** (937) 726-8629
- **Mailing address:** 336 RICHMAR DR, MOUNTAIN BRK, AL 35213-4418
- **Mailing address phone:** (937) 726-8629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 3623C | AL | Yes |

## Other

- **Enumeration date:** 12/15/2014
- **Last updated:** 12/15/2014