Organization
COMMUNITY SERVICE PROGRAMS OF WEST AL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH VICK (SUPERVISOR)
(205) 752-0476
Entity
Organization
Contact information
Practice address
2002 MCFARLAND BLVD E, SUITE 209, TUSCALOOSA, AL 35404
(205) 752-0476
(205) 752-8122
Mailing address
601 17TH STREET, TUSCALOOSA, AL 35401-6311
(205) 752-0476
(205) 752-8122
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
591500002
TCM PROVIDER NUMBER
AL
Enumeration date
01/26/2007
Last updated
04/30/2008
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