Organization
NORTHWEST ALABAMA TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN ROSS MOORE SR. M.D. (MEDICAL DIRECTOR)
(205) 425-1200
Entity
Organization
Contact information
Practice address
4204 EDMONTON DR, BESSEMER, AL 35022-4878
(205) 425-1200
(205) 425-9606
Mailing address
4204 EDMONTON DR, BESSEMER, AL 35022-4878
(205) 425-1200
(205) 425-9606
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
AL30077
AL
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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