Organization
SOUTHEASTERN PSYCHIATRIC MANAGEMENT, INC.
Active
Other names
GrandView Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOY R BALLENGER (CREDENTIALING NETWORK MANAGER)
(256) 546-9265
Entity
Organization
Contact information
Practice address
315 SAINT LUKES DR, MONTGOMERY, AL 36117-7109
(334) 409-9242
(334) 409-9186
Mailing address
3001 SCENIC HWY, GADSDEN, AL 35904-3047
(256) 546-9265
(256) 549-0376
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
03/11/2008
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