Chicken

NPI #1720314156 in Tuskegee, Alabama

Provider Information

NPI Number
1720314156
Entity Type
Organization
Organization Name
Chicken
Primary Specialty
Community/Behavioral Health
Enumeration Date
Oct 20, 2009
Last Updated
Oct 20, 2009

Practice Location

Address
123 MAIN STREET
State
Alabama
ZIP Code
36088
Phone
(334) 727-4306

Authorized Official

Name
MONROE AUSTIN
Title
CAO
Phone
(334) 727-4306

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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