Healthcare Provider Details
I. General information
NPI: 1831184951
Provider Name (Legal Business Name): ALLIANCE HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/14/2005
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5000 HIGHWAY 39 N
MERIDIAN MS
39301-1021
US
IV. Provider business mailing address
5000 HIGHWAY 39 N
MERIDIAN MS
39301-1021
US
V. Phone/Fax
- Phone: 601-483-6211
- Fax: 601-696-4898
- Phone: 601-483-6211
- Fax: 601-696-4898
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 283Q00000X |
| Taxonomy | Psychiatric Hospital |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 323P00000X |
| Taxonomy | Psychiatric Residential Treatment Facility |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 324500000X |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEVE
FILTON
Title or Position: SR VP CFO
Credential:
Phone: 610-738-3300