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NPI Code Detail

MEDICARE: SOUTHEASTERN PSYCHIATRIC MANAGEMENT, INC.

MEDICARE: SOUTHEASTERN PSYCHIATRIC MANAGEMENT, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1283Q00000XPsychiatric Hospital10347AL

General Provider Information

NPI Number : 1346240470
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHEASTERN PSYCHIATRIC MANAGEMENT, INC.
Provider Business Mailing Address
First Line : 3001 SCENIC HWY
Second Line :
City : GADSDEN
State : AL
Zip : 35904-3047
Country : US
Telephone Number : 256-546-9265
Fax Number : 256-549-0376
Provider Business Practice Location Address
First Line : 3001 SCENIC HWY
Second Line :
City : GADSDEN
State : AL
Zip : 35904-3047
Country : US
Telephone Number : 256-546-9265
Fax Number : 256-549-0376
Authorized Official
Title or Position : NETWORKING MANAGER
Name : MS. KELLY GEWALT
Credential :
Telephone Number : 256-546-9265
Provider Enumeration Date : 07/29/2005
Last Update Date : 04/17/2024

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Directions to “SOUTHEASTERN PSYCHIATRIC MANAGEMENT, INC. ” Practice Location

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