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Organization
WIREGRASS MENTAL HEALTH BOARD INC
Active
Organization
WIREGRASS MENTAL HEALTH BOARD INC
Active
Other names
SpectraCare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA KIRKLAND (EXECUTIVE DIRECTOR)
(334) 712-2720
Entity
Organization
Contact information
Practice address
134 PREVATT RD, DOTHAN, AL 36301-5427
(334) 794-0731
Mailing address
PO BOX 1245, 2694 SOUTH PARK AVE., DOTHAN, AL 36302-1245
(334) 712-2720
(334) 712-2727
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
Primary
—
NULL
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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