Organization
BIG BEN'SGROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENNIE EARL GRIFFIN (ADMINISTER)
(334) 655-5406
Entity
Organization
Contact information
Practice address
112 N BELL ST, DOTHAN, AL 36303-4308
(334) 793-5406
(334) 793-5406
Mailing address
112 N BELL ST, DOTHAN, AL 36303-4308
(334) 793-5406
(334) 793-5406
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/15/2006
Last updated
08/22/2020
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