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Organization
MARION COUNTY TREATMENT CENTER
Active
Organization
MARION COUNTY TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ANN WALDROP CRNP (CEO)
(205) 221-1799
Entity
Organization
Contact information
Practice address
1879 MILITARY ST SOUTH, HAMILTON, AL 35570
(205) 921-3799
(205) 921-3480
Mailing address
1879 MILITARY ST SOUTH, HAMILTON, AL 35570
(205) 921-3799
(205) 921-3480
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
00005812
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-24062
BC/BS
AL
Enumeration date
11/29/2006
Last updated
12/19/2019
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