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Organization

NOAHS ARK CHILD & FAMILY TREATMENT CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KASSANDRA ALEXANDRIA BANKS-WATKINS (CEO/FOUNDER)
(678) 536-7614
Entity
Organization

Contact information

Practice address
1728 5TH AVE N, BIRMINGHAM, AL 35203-2023
(205) 502-7278
Mailing address
1728 5TH AVE N, BIRMINGHAM, AL 35203-2023

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary

Other

Enumeration date
07/16/2014
Last updated
04/04/2019
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