Organization
PHP OF ALABAMA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE T ADDISON (CONTROLLER)
(901) 692-5555
Entity
Organization
Contact information
Practice address
62 RED EAGLE PKWY, WETUMPKA, AL 36092-2052
(334) 567-3729
(334) 514-6776
Mailing address
468 HALLE PARK DR, COLLIERVILLE, TN 38017-7089
(901) 692-5555
(901) 692-5561
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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