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Organization
EAST CENTRAL MENTAL HEALTH MENTAL RETARDATION, INC
Active
Organization
EAST CENTRAL MENTAL HEALTH MENTAL RETARDATION, INC
Active
Other names
LOPEZ
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MALVIA G FRYE (BUSINESS OFFICE MANAGER)
(334) 566-6022
Entity
Organization
Contact information
Practice address
200 CHERRY ST, TROY, AL 36081-2044
(334) 566-6022
(334) 566-5346
Mailing address
200 CHERRY ST, TROY, AL 36081-2044
(334) 566-6022
(334) 566-5346
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3323003334
—
AL
Enumeration date
11/09/2006
Last updated
07/23/2007
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