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Organization

TABIA KEONNA WOOLFORK RECREATIONAL MENTAL HEALTH FITNESS FACILITY

Active
Other names
TABIA KEONNA WOOLFORK RECREATIONAL MENTAL HEALTH FITNESS FACILITY
Organization subpart
No

Provider details

NPI number
Authorized official
PEGGIE LEE HATTEN ALC (FOUNDER)
(334) 647-1880
Entity
Organization

Contact information

Practice address
853 S COURT ST, MONTGOMERY, AL 36104-4905
(334) 647-1880
Mailing address
6021 PORTSMOUTH CT, MONTGOMERY, AL 36116-7103
(334) 538-5529

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
07/25/2022
Last updated
07/25/2022
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