Organization
SOUTHWEST ALABAMA MENTAL HEALTH/MENTAL RETARDATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WAYNE GOLDMAN M.A. (LMFT/ COORDINATOR CLARKE COUNTY)
(251) 275-4165
Entity
Organization
Contact information
Practice address
129 CLARK ST, GROVE HILL, AL 36451-3050
(251) 275-4165
Mailing address
129 CLARK ST, GROVE HILL, AL 36451-3050
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
L258
AL
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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