Organization
NORTHWEST ALABAMA MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FLOYD FULTON NEWMAN JR. MSW (EXECUTIVE DIRECTOR)
(205) 302-9065
Entity
Organization
Contact information
Practice address
1100 7TH AVE, JASPER, AL 35501-4377
(205) 302-9000
(205) 387-8270
Mailing address
1100 7TH AVE, JASPER, AL 35501-4377
(205) 302-9000
(205) 387-8270
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
05
—
330000015
—
AL
05
—
330034015
—
AL
05
—
590000015
—
AL
Enumeration date
10/03/2006
Last updated
10/17/2011
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