Healthcare Provider Details
I. General information
NPI: 1821264953
Provider Name (Legal Business Name): ADDICTION & MENTAL HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/08/2008
Last Update Date: 05/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1189 ALLBRITTON RD
WARRIOR AL
35180-2663
US
IV. Provider business mailing address
2101 MAGNOLIA AVE S SUITE 518
BIRMINGHAM AL
35205-2827
US
V. Phone/Fax
- Phone: 205-244-2960
- Fax: 205-244-3026
- Phone: 205-251-7753
- Fax: 205-251-7760
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 284300000X |
| Taxonomy | Special Hospital |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 324500000X |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
BERNARD
B
STEPHENS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 205-251-7753