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Organization

CLINIC 5 ADDICTION RECOVERY

Active
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Organization

CLINIC 5 ADDICTION RECOVERY

Active
Other names
Clinic 5 Addiction Recovery
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNIFER THRASHER OWNER (CEO)
(256) 312-2101
Entity
Organization

Contact information

Practice address
1 INDEPENDENT DR, RAINBOW CITY, AL 35906-3249
(256) 952-2709
(256) 952-2769
Mailing address
1 INDEPENDENT DR, RAINBOW CITY, AL 35906-3249
(256) 312-2101
(256) 952-2769

Taxonomy

Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
261QM2500X
Medical Specialty Clinic/Center
261QR0800X
Recovery Care Clinic/Center
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Enumeration date
06/10/2022
Last updated
06/10/2022
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