Organization
BREWER PORCH CHILDREN'S CENTER
Active
Parent organization
UNIVERSITY OF ALABAMA
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF ALABAMA
Authorized official
YVONNE LYNN SEGREST (BILLING COORDINATOR)
(205) 348-9366
Entity
Organization
Contact information
Practice address
2501 WOODLAND RD, TUSCALOOSA, AL 35404-5028
(205) 348-7236
(205) 348-9368
Mailing address
2501 WOODLAND RD, TUSCALOOSA, AL 35404-5028
(205) 348-7236
(205) 348-9368
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000027
—
AL
Enumeration date
03/14/2008
Last updated
06/12/2008
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