State of Alabama Dept of Mental Health & Mental Retardation
NPI #1619190998 in Montgomery, Alabama
Provider Information
- NPI Number
- 1619190998
- Entity Type
- Organization
- Organization Name
- State of Alabama Dept of Mental Health & Mental Retardation
- Primary Specialty
- Psychiatric Hospital
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 2140 UPPER WETUMPKA ROAD
- City
- Montgomery
- State
- Alabama
- ZIP Code
- 36107
- Phone
- (334) 262-0363
Authorized Official
- Name
- MS. DOROTHY CALLOWAY
- Title
- CHEIF FINANCIAL OFFICER
- Phone
- (334) 262-0363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Hospital |
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