# WIREGRASS MENTAL HEALTH BOARD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SpectraCare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568638534
- **Authorized official:** MRS. MELISSA KIRKLAND (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (334) 712-2720

## Contact information

- **Practice address:** 134 PREVATT RD, DOTHAN, AL 36301-5427
- **Practice address phone:** (334) 794-0731
- **Mailing address:** PO BOX 1245, 2694 SOUTH PARK AVE., DOTHAN, AL 36302-1245
- **Mailing address phone:** (334) 712-2720
- **Mailing address fax:** (334) 712-2727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/30/2008
- **Last updated:** 04/30/2008