Organization
TRI-WIL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BROWN (EXECUTIVE DIRECTOR)
(205) 938-7855
Entity
Organization
Contact information
Practice address
65 ENTERPRISE LOOP, WOODSTOCK, AL 35188-4040
(205) 938-7855
(205) 938-3647
Mailing address
PO BOX 77, GREEN POND, AL 35074-0077
(205) 938-7855
(205) 938-3647
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
AL
323P00000X
Psychiatric Residential Treatment Facility
—
AL
Other
Enumeration date
08/16/2006
Last updated
03/24/2008
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