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Organization
CHEAHA REGIONAL MENTAL HEALTH MENTAL RETARDATION BOARD, INC.
Active
Organization
CHEAHA REGIONAL MENTAL HEALTH MENTAL RETARDATION BOARD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA A. SUMMERS (ELECTRONIC CLAIMS ADMINISTRATOR)
(256) 245-1340
Entity
Organization
Contact information
Practice address
351 W 3RD ST, SYLACAUGA, AL 35150-1907
(256) 245-1340
(256) 245-1343
Mailing address
351 W 3RD ST, SYLACAUGA, AL 35150-1907
(256) 245-1340
(256) 245-1343
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
AL
252Y00000X
Early Intervention Provider Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
AL
324500000X
Substance Abuse Rehabilitation Facility
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510 08112
BCBS OF ALABAMA
AL
01
—
510 26112
BCBS OF ALABAMA
AL
01
—
510 79003
BCBS OF ALABAMA
AL
01
—
510 81173
BCBS OF ALABAMA
AL
01
—
515 11684
BCBS OF ALABAMA
AL
Enumeration date
01/23/2007
Last updated
07/18/2014
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