Organization
FAMILY ALLIANCE NETWORK
Active
Parent organization
FAMILY ALLIANCE NETWORK
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY ALLIANCE NETWORK
Authorized official
SABRINA A MACK (CEO)
(704) 756-3991
Entity
Organization
Contact information
Practice address
348 BRIDLEBROOK BLVD, PIKE ROAD, AL 36064-2775
(334) 375-9501
Mailing address
348 BRIDLEBROOK BLVD, PIKE ROAD, AL 36064-2775
(334) 375-9501
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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