Organization
SOUTHLAWN COMMUNITY DEVELOPEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS ANNETTE RANDOLPH MASTERS IN SCIENCE (DIRECTOR)
(334) 281-4654
Entity
Organization
Contact information
Practice address
4665 MOBILE HIGHWAY, MONTGOMERY, AL 36108-5124
(334) 281-4654
(334) 281-4654
Mailing address
4665 MOBILE HWY, MONTGOMERY, AL 36108-5124
(334) 281-4654
(334) 281-4654
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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