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Organization
BREWER PORCH CHILDREN'S CENTER
Active
Organization
BREWER PORCH CHILDREN'S CENTER
Active
Parent organization
UNIVERSITY OF ALABAMA
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF ALABAMA
Authorized official
DR. JAMES WILLIAM THOMPSON PH.D. (EXECUTIVE DIRECTOR)
(205) 348-9340
Entity
Organization
Contact information
Practice address
2501 WOODLAND RD, TUSCALOOSA, AL 35404-5028
(205) 348-7236
(205) 348-9368
Mailing address
2501 WOODLAND ROAD, TUSCALOOSA, AL 35405
(205) 348-7236
(205) 348-9368
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
04/28/2006
Last updated
08/18/2015
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