Organization
LIFE TIME RESOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA ALLEN LCSW (CEO)
(334) 284-7502
Entity
Organization
Contact information
Practice address
2525 E SOUTH BLVD, MONTGOMERY, AL 36116-2507
(334) 284-7502
(334) 284-7503
Mailing address
2525 E SOUTH BLVD, MONTGOMERY, AL 36116-2507
(334) 284-7502
(334) 284-7503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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