Organization
BIG BROTHER TRANSITIONAL LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH R JOHNSON (DIRECTOR)
(251) 300-0767
Entity
Organization
Contact information
Practice address
5320 MOFFETT RD, MOBILE, AL 36618-2904
(251) 300-0767
(251) 468-2021
Mailing address
27900 JAPONICA LN, DAPHNE, AL 36526-5248
(251) 300-0767
(251) 468-2021
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
10/03/2025
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