Organization
GREATER ETOWAH MENTAL RETARDATION 310 BOARD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA S. CLACKUM (EXECUTIVE DIRECTOR)
(256) 546-6016
Entity
Organization
Contact information
Practice address
319 PADENREICH AVE, GADSDEN, AL 35903-2440
(256) 546-6016
(256) 546-6016
Mailing address
319 PADENREICH AVE, GADSDEN, AL 35903-2440
(256) 546-6016
(256) 546-6016
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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