Individual
PAMELA F MCTILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EXECUTIVE DIRECTOR
Contact information
Practice address
3928 NEPTUNE DR NW, HUNTSVILLE, AL 35810-1374
(256) 348-4908
Mailing address
10309 WAYSIDE DR NE, HUNTSVILLE, AL 35810-6300
(256) 348-4908
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
2401541
AL
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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