Organization
JAMES RIVER SCLH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GENEVA HINTON BROWN QMRP (EXECUTIVE DIRECTOR)
(205) 333-3163
Entity
Organization
Contact information
Practice address
5505 JAMES RIVER DR, NORTHPORT, AL 35473-1309
(205) 333-3163
(205) 333-5926
Mailing address
5505 JAMES RIVER DR, NORTHPORT, AL 35473-1309
(205) 333-3163
(205) 333-5926
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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