Organization
CAPITOL CARE SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL EARL JONES M.S. & PH.D. (THERAPIST)
(205) 956-2000
Entity
Organization
Contact information
Practice address
2619 COMMERCE BLVD, IRONDALE, AL 35210-1211
(205) 956-2000
(205) 956-2001
Mailing address
2619 COMMERCE BLVD, IRONDALE, AL 35210-1211
(205) 956-6045
(205) 956-2001
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
A110
AL
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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