Organization
AUTAUGA WESTERN ELMORE ASSOCIATION FOR RETARDED CITIZENS
Active
Other names
Early Intervnetion Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN BYRNE (EXECUTIVE DIRECTOR)
(334) 365-4054
Entity
Organization
Contact information
Practice address
298 JAY ST, PRATTVILLE, AL 36066-6062
(334) 365-4054
(334) 361-0335
Mailing address
PO BOX 681952, PRATTVILLE, AL 36068-1952
(334) 365-4054
(334) 361-0335
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
G7-2253-72
AL
Other
Enumeration date
02/22/2007
Last updated
09/11/2007
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