Organization
CAHABA CENTER FOR MENTAL HEALTH AND MENTAL RETARDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE P BEARDEN (EXECUTIVE DIRECTOR)
(334) 875-2100
Entity
Organization
Contact information
Practice address
1017 MEDICAL CENTER PKWY, SELMA, AL 36701-6780
(334) 875-2100
(334) 418-6540
Mailing address
417 MEDICAL CENTER PKWY, SELMA, AL 36701-7703
(334) 875-6068
(334) 872-2084
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005437603
—
AL
05
—
008306000
—
AL
05
—
330000021
—
AL
05
—
330034021
—
AL
05
—
590000021
—
AL
05
—
591600014
—
AL
05
—
591700014
—
AL
Enumeration date
05/03/2006
Last updated
01/11/2023
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