Organization
CED FELLOWSHIP HOUSE, INC.
Active
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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