Organization
GLENWOOD
Active
Other names
Center for Child and Adolescent Development
Organization subpart
No
Provider details
NPI number
Authorized official
D LEE YOUNT (EXECUTIVE DIRECTOR)
(205) 795-3210
Entity
Organization
Contact information
Practice address
2361 FAIRLANE DR, MONTGOMERY, AL 36116-1633
(334) 262-5744
(334) 262-5155
Mailing address
2361 FAIRLANE DR, MONTGOMERY, AL 36116-1633
(334) 262-5744
(334) 262-5155
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529925380
—
AL
Enumeration date
06/09/2006
Last updated
02/15/2017
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