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Organization
UNITED METHODIST CHILDREN'S HOME
Active
Organization
UNITED METHODIST CHILDREN'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH W, LISENBY (PRESIDENT & CEO)
(334) 875-7283
Entity
Organization
Contact information
Practice address
1712 BROAD ST, SELMA, AL 36701-4102
(334) 875-7283
(334) 875-5161
Mailing address
PO BOX 830, SELMA, AL 36702-0830
(334) 875-7283
(334) 875-5161
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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