Organization
WELLSTONE, INC.
Active
Other names
Wellstone CCBHC
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIKA HARRELL (HR CREDENTIALING)
(256) 715-9978
Entity
Organization
Contact information
Practice address
4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-4364
(256) 705-6364
Mailing address
1131 EAGLETREE LN SW, HUNTSVILLE, AL 35801-6491
(125) 670-5636
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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