Organization
CHICKEN
Active
Other names
Chicken George
Organization subpart
No
Provider details
NPI number
Authorized official
MONROE AUSTIN (CAO)
(334) 727-4306
Entity
Organization
Contact information
Practice address
123 MAIN STREET, TUSKEGEE, AL 36088
(334) 727-4306
Mailing address
123 MAINSTREET, TUSKEGEE, AL 36088
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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