Organization
BE ACTIVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BRADLEY (OWNER/EXECUTIVE DIRECTOR)
(334) 717-1899
Entity
Organization
Contact information
Practice address
160 SCENIC DR, PRATTVILLE, AL 36066-6416
(334) 231-4441
(334) 380-3723
Mailing address
160 SCENIC DR, PRATTVILLE, AL 36066-6416
(334) 231-4441
(334) 380-3723
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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