Organization
INSTITUTE FOR SUBSTANCE USE DISORDERS, LLC
Active
Other names
Sereno Ridge Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY TARBOX WHITE MD (EXECUTIVE DIRECTOR)
(256) 658-0666
Entity
Organization
Contact information
Practice address
291 VALLEY CRUISE LN, ARAB, AL 35016-9402
(256) 658-0666
Mailing address
291 VALLEY CRUISE LN, ARAB, AL 35016-9402
(256) 658-0666
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
07/11/2020
Last updated
07/11/2020
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