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Organization
SOUTHLAWN COMMUNITY DEVELOPEMENT CENTER
Active
Organization
SOUTHLAWN COMMUNITY DEVELOPEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS ANNETTE RANDOLPH MASTERS IN SCIENCE (DIRECTOR)
(334) 281-4654
Entity
Organization
Contact information
Practice address
4665 MOBILE HIGHWAY, MONTGOMERY, AL 36108-5124
(334) 281-4654
(334) 281-4654
Mailing address
4665 MOBILE HWY, MONTGOMERY, AL 36108-5124
(334) 281-4654
(334) 281-4654
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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