Individual
LARRY D WILLIAMS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3413 22ND ST, NORTHPORT, AL 35476-3742
(205) 765-9266
Mailing address
5505 10TH CT, NORTHPORT, AL 35473-7463
(205) 765-9266
(205) 765-9266
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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