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Organization
COMMUNITY SERVICE PROGRAMS OF WEST AL INC
Active
Organization
COMMUNITY SERVICE PROGRAMS OF WEST AL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH VICK (SUPERVISOR)
(205) 752-0476
Entity
Organization
Contact information
Practice address
2002 MCFARLAND BLVD E, SUITE 209, TUSCALOOSA, AL 35404
(205) 752-0476
(205) 752-8122
Mailing address
601 17TH STREET, TUSCALOOSA, AL 35401-6311
(205) 752-0476
(205) 752-8122
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
591500002
TCM PROVIDER NUMBER
AL
Enumeration date
01/26/2007
Last updated
04/30/2008
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