Organization
NORTHWEST ALABAMA MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FLOYD F NEWMAN JR. (EXECUTIVE DIRECTOR)
(205) 302-9053
Entity
Organization
Contact information
Practice address
1100 7TH AVE, JASPER, AL 35501-4377
(205) 302-9000
(205) 384-8270
Mailing address
1100 7TH AVE, JASPER, AL 35501-4377
(205) 302-9000
(205) 384-8270
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515 11700
BLUE CROSS AND BLUE SHIELD - ALL KIDS PLUS
AL
Enumeration date
04/23/2008
Last updated
04/23/2008
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