Organization
ADDICTION & MENTAL HEALTH SERVICES, LLC
Active
Organization
ADDICTION & MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD B STEPHENS (CHIEF FINANCIAL OFFICER)
(205) 251-7753
Entity
Organization
Contact information
Practice address
1713 HAMRIC DR E STE 2, OXFORD, AL 36203-2015
(256) 237-4209
Mailing address
PO BOX 830585, BIRMINGHAM, AL 35283-0585
(205) 251-7753
(205) 251-7760
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011-666
BLUE CROSS OF ALABAMA
AL
Enumeration date
01/08/2007
Last updated
03/17/2018
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