Healthcare Provider Details

I. General information

NPI: 1871675066
Provider Name (Legal Business Name): THE ARC OF CENTRAL ALABAMA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 CRESTWOOD BLVD
BIRMINGHAM AL
35212-4203
US

IV. Provider business mailing address

6001 CRESTWOOD BLVD
BIRMINGHAM AL
35212-4203
US

V. Phone/Fax

Practice location:
  • Phone: 205-316-9939
  • Fax: 205-961-3007
Mailing address:
  • Phone: 205-316-9939
  • Fax: 205-961-3007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DALLAS VICE
Title or Position: VICE PRESIDENT OF FINANCE
Credential:
Phone: 205-503-4037