Organization
EAST CENTRAL MENTAL HEALTH MENTAL RETARDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MALVIA G FRYE (BUSINESS OFFICE MANAGER)
(334) 566-6022
Entity
Organization
Contact information
Practice address
200 CHERRY ST, TROY, AL 36081-2044
(334) 566-6022
(334) 566-5346
Mailing address
200 CHERRY ST, TROY, AL 36081-2044
(334) 566-6022
(334) 566-5346
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-08117
BCBS PPO PLANS
AL
01
—
51022653
BCBS DR.
AL
01
—
6231195
UBH
AL
01
—
6232119
UBH
AL
01
—
6242119
UBH
AL
01
—
6342119
UBH
AL
05
—
8401000
—
AL
Enumeration date
10/23/2006
Last updated
06/21/2018
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