Organization
RUSSELL COUNTY CHILD ADVOCACY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUANITA LYNN HART (EXECUTIVE DIRECTOR)
(334) 297-4962
Entity
Organization
Contact information
Practice address
1212 7TH AVE STE C, PHENIX CITY, AL 36867-5805
(334) 297-1649
Mailing address
67 DOWNING DR, PHENIX CITY, AL 36869-3342
(334) 297-4962
(334) 297-4794
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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