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Organization

SEQUEL TSI OF ALABAMA, LLC NEW DIRECTIONS

Active
Parent organization
SEQUEL TSI OF ALABAMA, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SEQUEL TSI OF ALABAMA, LLC
Authorized official
MR. JOHN STUPAK (PRESIDENT)
(267) 419-8913
Entity
Organization

Contact information

Practice address
318A HAMER RD, OWENS CROSS ROADS, AL 35763-9612
(256) 725-7170
(256) 725-7169
Mailing address
318A HAMER RD, OWENS CROSS ROADS, AL 35763-9612
(256) 725-7170
(256) 725-7169

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary

Other

Enumeration date
01/19/2010
Last updated
01/19/2010
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