Organization
ALABAMA DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA WINGARD (DIRECTOR, SYSTEMS MANAGEMENT)
(334) 353-3719
Entity
Organization
Contact information
Practice address
100 N UNION ST, MONTGOMERY, AL 36130-0001
(334) 242-3107
Mailing address
100 N UNION ST, MONTGOMERY, AL 36130-0001
(334) 242-3107
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005400000
—
AL
Enumeration date
01/18/2007
Last updated
12/09/2020
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