Organization
DEBRICK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE MOORE JENKINS (EXECUTIVE DIRECTOR)
(205) 246-1592
Entity
Organization
Contact information
Practice address
2727 6TH ST, 1701 MONTROSE DRIVE, TUSCALOOSA, AL 35401-1705
(205) 246-1592
(205) 752-9026
Mailing address
2727 6TH STREET, P. O. BOX 2442, TUSCALOOSA, AL 35403
(205) 246-1592
(205) 752-9026
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
AL
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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