Organization
CDP COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY SIMS (EXECUTIVE DIRECTOR)
(251) 259-0857
Entity
Organization
Contact information
Practice address
1904 GLORIA YORK AVE, MOBILE, AL 36617-3409
(251) 259-0857
Mailing address
2060 OCONNOR ST, MOBILE, AL 36617-2619
(251) 259-0857
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
03/25/2024
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