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Organization
ST. ANDREW'S PLACE
Active
Organization
ST. ANDREW'S PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRISON B. BLACK (EXECUTIVE DIRECTOR)
(205) 322-4439
Entity
Organization
Contact information
Practice address
1024 12TH ST S, BIRMINGHAM, AL 35205-5234
(205) 322-4439
(205) 322-4467
Mailing address
1024 12TH ST S, BIRMINGHAM, AL 35205-5234
(205) 322-4439
(205) 322-4467
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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