Organization
EAST CENTRAL MENTAL HEALTH MENTAL RETARDATION, INC
Active
Other names
LOPEZ
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MALVIA G FRYE (BUSINESS OFFICE MANAGER)
(334) 566-6022
Entity
Organization
Contact information
Practice address
200 CHERRY ST, TROY, AL 36081-2044
(334) 566-6022
(334) 566-5346
Mailing address
200 CHERRY ST, TROY, AL 36081-2044
(334) 566-6022
(334) 566-5346
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3323003334
—
AL
Enumeration date
11/09/2006
Last updated
07/23/2007
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