Organization
WILMER HALL EPISCOPAL CHILDREN'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE M HAMILTON M.ED.,LPC (PROGRAM DIRECTOR)
(251) 342-4931
Entity
Organization
Contact information
Practice address
3811 OLD SHELL RD, MOBILE, AL 36608-1317
(251) 342-4931
(251) 342-1782
Mailing address
3811 OLD SHELL RD, MOBILE, AL 36608-1317
(251) 342-4931
(251) 342-1782
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
000264
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33090166
—
AL
05
—
33090266
—
AL
Enumeration date
08/09/2006
Last updated
08/22/2020
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