Organization
SPECTRACARE INTEGRATED SERVICES LLC
Active
Parent organization
SPECTRACARE HEALTH SYSTEMS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRACARE HEALTH SYSTEMS, INC.
Authorized official
MRS. MELISSA KIRKLAND (CHIEF EXECTUTIVE OFFICER)
(334) 712-2720
Entity
Organization
Contact information
Practice address
3542 MONTGOMERY HWY, DOTHAN, AL 36303-2165
(334) 712-2720
(334) 712-2727
Mailing address
PO BOX 1245, DOTHAN, AL 36302-1245
(334) 712-2720
(334) 712-2727
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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