Organization
TTC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEMECE MICHELLE GASAWAY (DIRECTOR OF LICENSING)
(214) 365-6126
Entity
Organization
Contact information
Practice address
1001 MIMOSA PARK RD, TUSCALOOSA, AL 35405
(214) 365-6100
Mailing address
5001 SPRING VALLEY RD STE 600E, DALLAS, TX 75244-8217
(214) 365-6100
(214) 365-6150
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
125-M0001
AL
Other
Enumeration date
08/30/2017
Last updated
02/21/2019
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