Organization
VIRTUOUS WOMEN OF WEST ALABAMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA MCKINSTRY (PROVIDER)
(205) 657-3114
Entity
Organization
Contact information
Practice address
3914 WATERMELON RD, NORTHPORT, AL 35473-5184
(205) 657-3114
Mailing address
5001 CYPRESS CREEK AVE E APT 402, TUSCALOOSA, AL 35405-6028
(205) 657-3114
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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