Healthcare Provider Details

I. General information

NPI: 1285774711
Provider Name (Legal Business Name): ADDICTION & MENTAL HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 08/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 BROWNS FERRY ROAD
MADISON AL
35758
US

IV. Provider business mailing address

PO BOX 830585
BIRMINGHAM AL
35283-0585
US

V. Phone/Fax

Practice location:
  • Phone: 256-461-7272
  • Fax: 256-464-9618
Mailing address:
  • Phone: 205-251-7753
  • Fax: 205-251-7760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: BERNARD B STEPHENS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 205-251-7753