Organization
A SPECIAL PLACE FOR KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN JANEL JOHNSON (OWNER)
(205) 616-4078
Entity
Organization
Contact information
Practice address
1108 MAIN STREET GARDENDALE, GARDENDALE, AL 35071
(205) 285-5078
(205) 533-9927
Mailing address
PO BOX 2010, GARDENDALE, AL 35071-1880
(205) 285-5078
(205) 533-9927
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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