Organization
MAGNOLIA-CREEK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BRADY (CFO)
(615) 864-8145
Entity
Organization
Contact information
Practice address
162 MAGNOLIA CREEK DR, COLUMBIANA, AL 35051-1157
(205) 730-6649
Mailing address
1035 MONTICELLO DR, ANDERSON, IN 46011-1223
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
04/06/2026
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