Organization
TRICOUNTY MENTAL RETARDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA M BENDER (EXECUTIVE DIRECTOR)
(205) 384-4953
Entity
Organization
Contact information
Practice address
85 N WALSTON BRIDGE ROAD, JASPER, AL 35504
(205) 384-4953
(205) 384-3352
Mailing address
85 N WALSTON BRIDGE ROAD, JASPER, AL 35504
(205) 384-4953
(205) 384-3352
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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