Organization
CULLMAN AREA MENTAL HEALTH AUTHORITY, INC
Active
Other names
Mental Healthcare of Cullman
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS VANDYKE MA (EXECUTIVE DIRECTOR)
(256) 734-4688
Entity
Organization
Contact information
Practice address
1909 COMMERCE AVE, CULLMAN, AL 35055-6151
(256) 734-4688
(256) 736-5638
Mailing address
PO BOX 2186, CULLMAN, AL 35056-2186
(256) 734-4688
(256) 736-5638
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051008814
BLUE CROSS BLUE SHIELD PEEHIP
AL
01
—
08814
PPO CONTRACT
AL
05
—
330000025
—
AL
05
—
330034025
—
AL
01
—
51008814
ALL KIDS
AL
05
—
529923460
—
AL
05
—
590000025
—
AL
05
—
590034025
—
AL
Enumeration date
09/06/2006
Last updated
08/13/2013
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