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SOUTHEASTERN PSYCHIATRIC MANAGEMENT INC. NPI 1750559084


NPI Information

NPI: 1750559084
Provider Name: SOUTHEASTERN PSYCHIATRIC MANAGEMENT, INC.

Doing Business As: MOUNTAIN VIEW RESIDENTIAL PROGRAM

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
3001 SCENIC HWY
GADSDEN, AL
ZIP 35904
Phone: (256) 546-9265
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SOUTHEASTERN PSYCHIATRIC MANAGEMENT, INC. is a residential treatment facility emotionally disturbed children in Gadsden, AL. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. SOUTHEASTERN PSYCHIATRIC MANAGEMENT, INC. NPI is 1750559084. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountain View Residential Program.

The provider's business location address is:

3001 SCENIC HWY
GADSDEN, AL
ZIP 35904-047
Phone: (256) 546-9265
Fax: (256) 549-0376

The provider's authorized official is Joy R Ballenger .
The authorized official title is Network Manager and has the following contact phone number (256) 546-9265.

The enumeration date for this NPI number is 2/20/2008 and was last updated on 3/11/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1RTF0013HMEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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