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Organization
FAMILY ALLIANCE NETWORK
Active
Organization
FAMILY ALLIANCE NETWORK
Active
Parent organization
FAMILY ALLIANCE NETWORK
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY ALLIANCE NETWORK
Authorized official
SABRINA A MACK (CEO)
(704) 756-3991
Entity
Organization
Contact information
Practice address
348 BRIDLEBROOK BLVD, PIKE ROAD, AL 36064-2775
(334) 375-9501
Mailing address
348 BRIDLEBROOK BLVD, PIKE ROAD, AL 36064-2775
(334) 375-9501
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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