Organization
THE BRANT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MICHAEL BRANTLEY MASTERS SOCIAL WORK (EXECUTIVE DIRECTOR)
(334) 300-1039
Entity
Organization
Contact information
Practice address
1624 LAPSLEY ST, SELMA, AL 36701-5204
(334) 300-1039
(334) 528-0174
Mailing address
1624 LAPSLEY ST, P.O. BOX 2591, SELMA, AL 36701-5204
(334) 300-1039
(334) 528-0174
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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