EAST CENTRAL MENTAL HEALTH MENTAL RETARDATION INC NPI 1730258021

NPI Information

NPI: 1730258021
Provider Name: EAST CENTRAL MENTAL HEALTH MENTAL RETARDATION, INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
200 CHERRY ST
TROY, AL
ZIP 36081
Phone: (334) 566-6022
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EAST CENTRAL MENTAL HEALTH MENTAL RETARDATION, INC is a mental health (including community mental health center) clinic center in Troy, AL. EAST CENTRAL MENTAL HEALTH MENTAL RETARDATION, INC NPI is 1730258021. The provider is registered as an organization entity type.

The provider's business location address is:

200 CHERRY ST
TROY, AL
ZIP 36081-044
Phone: (334) 566-6022
Fax: (334) 566-5346

The provider's authorized official is Malvia G Frye .
The authorized official title is Business Office Manager and has the following contact phone number (334) 566-6022.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

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This page was last updated on: 5/5/2024

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