Organization
JATAWANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANDEE J LEWIS MS (DIRECTOR)
(251) 472-9607
Entity
Organization
Contact information
Practice address
1354 ANTWERP ST, MOBILE, AL 36605-4901
(251) 472-9607
Mailing address
1354 ANTWERP STREET, MOBILE, AL 36605
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
739100056
—
AL
Enumeration date
02/29/2008
Last updated
02/29/2008
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