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Organization

BALDWIN COUNTY COMMISSION

Active
Parent organization
BALDWIN COUNTY GIRLS RESIDENTIAL WILDERNESS PROGRAM
Other names
Baldwin County Girls Residential Wilderness Program
Organization subpart
Yes

Provider details

NPI number
Legal business name
BALDWIN COUNTY GIRLS RESIDENTIAL WILDERNESS PROGRAM
Authorized official
MRS. KIMBERLY WITHERINGTON CREECH (CLERK/TREASURER)
(251) 937-0303
Entity
Organization

Contact information

Practice address
23750 EWING FARM ROAD, ATMORE, AL 36502-0000
(251) 580-1860
(251) 937-0391
Mailing address
23750 EWING FARM ROAD, ATMORE, AL 36502-0000
(251) 580-1860
(251) 937-0391

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
339100025
AL
Enumeration date
11/26/2014
Last updated
11/26/2014
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