Organization
SOUTHEASTERN PSYCHIATRIC MANAGEMENT, INC.
Active
Other names
Mountain View Residential Program
Organization subpart
No
Provider details
NPI number
Authorized official
JOY R BALLENGER (NETWORK MANAGER)
(256) 546-9265
Entity
Organization
Contact information
Practice address
3001 SCENIC HWY, GADSDEN, AL 35904-3047
(256) 546-9265
(256) 549-0376
Mailing address
3001 SCENIC HWY, GADSDEN, AL 35904-3047
(256) 546-9265
(256) 549-0376
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RTF0013H
—
AL
Enumeration date
02/20/2008
Last updated
03/11/2008
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