Organization
GLENWOOD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETE MCCALLA (MIS MANAGER)
(205) 795-3218
Entity
Organization
Contact information
Practice address
150 GLENWOOD LN, BIRMINGHAM, AL 35242-5700
(205) 969-2880
(205) 795-3390
Mailing address
150 GLENWOOD LN, BIRMINGHAM, AL 35242-5700
(205) 969-2880
(205) 795-3390
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RTF0015H
—
AL
Enumeration date
03/24/2008
Last updated
03/24/2008
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