Organization
PEACE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA H YOUNG ALC (CLINICAL DIRECTOR)
(334) 610-0169
Entity
Organization
Contact information
Practice address
1716 CATHERINE CT STE 2A, AUBURN, AL 36830-5735
(334) 610-0169
Mailing address
1716 CATHERINE CT STE 2A, AUBURN, AL 36830-5735
(334) 610-0169
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
—
C3776A
ALABAMA BOARD OF EXAMINERS IN COUNSELING
AL
Enumeration date
09/28/2021
Last updated
09/16/2022
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