Organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Active
Parent organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Other names
AltaCare Outpatient Psychiatry and Counseling
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOUSTON COUNTY HEALTHCARE AUTHORITY
Authorized official
MR. ROBERT DEREK MILLER (CFO)
(334) 793-8087
Entity
Organization
Contact information
Practice address
1450 ROSS CLARK CIR, SUITE 400B, DOTHAN, AL 36301-4765
(334) 794-4582
(334) 671-9877
Mailing address
PO BOX 1928, DOTHAN, AL 36302-1928
(334) 793-8087
(334) 678-2895
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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