Organization
CHEAHA REGIONAL MENTAL HEALTH MENTAL RETARDATION BOARD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA A. SUMMERS (ELECTRONIC CLAIMS ADMINISTRATOR)
(256) 245-1340
Entity
Organization
Contact information
Practice address
351 W 3RD ST, SYLACAUGA, AL 35150-1907
(256) 245-1340
(256) 245-1343
Mailing address
351 W 3RD ST, SYLACAUGA, AL 35150-1907
(256) 245-1340
(256) 245-1343
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
AL
252Y00000X
Early Intervention Provider Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
AL
324500000X
Substance Abuse Rehabilitation Facility
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510 08112
BCBS OF ALABAMA
AL
01
—
510 26112
BCBS OF ALABAMA
AL
01
—
510 79003
BCBS OF ALABAMA
AL
01
—
510 81173
BCBS OF ALABAMA
AL
01
—
515 11684
BCBS OF ALABAMA
AL
Enumeration date
01/23/2007
Last updated
07/18/2014
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