Organization
CED FELLOWSHIP HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANNIE JAY CHILDRESS MS, NCAC II, SAP (EXECUTIVE DIRECTOR)
(256) 413-3470
Entity
Organization
Contact information
Practice address
4209 BROOKE AVE, GADSDEN, AL 35904-8300
(256) 413-3470
(256) 413-3472
Mailing address
4209 BROOKE AVE, GADSDEN, AL 35904-8300
(256) 413-3470
(256) 413-3472
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
AL
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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