Organization
ENTERPRISE BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL JUANITA CHRISTIAN (THERAPIST)
(334) 393-9130
Entity
Organization
Contact information
Practice address
1275 JAMES DR, SUITE A, ENTERPRISE, AL 36330-2063
(334) 393-9130
Mailing address
1275 JAMES DR, SUITE A, ENTERPRISE, AL 36330-2063
(334) 393-9130
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C1622A
AL
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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