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Organization

CLUBHOUSE AUTISM AND DEVELOPMENTAL CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAVANNA WILLIAMS SLP (OWNER)
(251) 751-1687
Entity
Organization

Contact information

Practice address
1001 COLLEGE AVE, JACKSON, AL 36545-2402
(251) 769-0021
Mailing address
PO BOX 759, CHATOM, AL 36518-0759

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
07/20/2021
Last updated
07/20/2021
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