Wiregrass Mental Health Board INC

NPI #1568638534 in Dothan, Alabama

Provider Information

NPI Number: 1568638534
Entity Type: Organization
Organization Name: Wiregrass Mental Health Board INC
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Apr 30, 2008
Last Updated: Apr 30, 2008

Practice Location

Address: 134 PREVATT RD
City: Dothan
State: Alabama
ZIP Code: 36301-5427
Phone: (334) 794-0731

Authorized Official

Name: MRS. MELISSA KIRKLAND
Title: EXECUTIVE DIRECTOR
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
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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