Organization
BREWER PORCH CHILDREN'S CENTER
Active
Parent organization
UNIVERSITY OF ALABAMA
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF ALABAMA
Authorized official
JAMES WILLIAM THOMPSON PH.D. (EXECUTIVE DIRECTOR)
(205) 348-9340
Entity
Organization
Contact information
Practice address
2501 WOODLAND RD, TUSCALOOSA, AL 35404-5028
(205) 348-7236
Mailing address
2501 WOODLAND RD, TUSCALOOSA, AL 35404-5028
(205) 348-7236
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-13784
ALLKIDS PLUS
AL
Enumeration date
04/28/2008
Last updated
04/28/2008
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