Spectracare Integrated Services LLC

NPI #1205385176 in Dothan, Alabama

Provider Information

NPI Number: 1205385176
Entity Type: Organization
Organization Name: Spectracare Integrated Services LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SPECTRACARE HEALTH SYSTEMS, INC.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 3, 2016
Last Updated: Oct 3, 2016

Practice Location

Address: 3542 MONTGOMERY HWY
City: Dothan
State: Alabama
ZIP Code: 36303-2165
Phone: (334) 712-2720

Authorized Official

Name: MRS. MELISSA KIRKLAND
Title: CHIEF EXECTUTIVE OFFICER
Phone: (334) 712-2720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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