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Organization
EAST ALABAMA MENTAL HEALTH-MENTAL RETARDATION BOARD INCORPOR
Active
Organization
EAST ALABAMA MENTAL HEALTH-MENTAL RETARDATION BOARD INCORPOR
Active
Other names
East Alabama Mental Health Center, Integrea Community Mental Health System
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMIE DICKEY (EXECUTIVE DIRECTOR)
(334) 742-2700
Entity
Organization
Contact information
Practice address
2506 LAMBERT DR, OPELIKA, AL 36801-7237
(334) 742-2733
(334) 742-2833
Mailing address
2506 LAMBERT DR, OPELIKA, AL 36801-7237
(334) 742-2733
(334) 742-2840
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NULL
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
114528
AL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002807
—
AL
01
—
2134256
PK
—
05
—
330000020
—
AL
05
—
590000020
—
AL
Enumeration date
07/20/2006
Last updated
08/11/2026
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