Healthcare Provider Details

I. General information

NPI: 1578576120
Provider Name (Legal Business Name): THERAPEUTIC PROGRAMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 MCGEHEE RD
MONTGOMERY AL
36111-2151
US

IV. Provider business mailing address

2900 MCGEHEE RD
MONTGOMERY AL
36111-2151
US

V. Phone/Fax

Practice location:
  • Phone: 334-280-3330
  • Fax: 334-280-1007
Mailing address:
  • Phone: 334-280-3330
  • Fax: 334-280-1007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number023941
License Number StateAL

VIII. Authorized Official

Name: DR. WILLIAM JOSEPH MITCHELL
Title or Position: EXECUTIVE DIRECTOR
Credential: ED.D.
Phone: 334-280-3330