Organization
TUSCALOOSA JUVENILE DETENTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FAILE (ADMIN)
(205) 349-3131
Entity
Organization
Contact information
Practice address
6001 12TH AVE E, TUSCALOOSA, AL 35405-5163
(205) 349-3131
(205) 349-3196
Mailing address
6001 12TH AVE E, TUSCALOOSA, AL 35405-5163
(205) 349-3131
(205) 349-3196
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
08/22/2020
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