ECD PROGRAM INC NPI 1215434378

NPI Information

ECD PROGRAM, INC is a rehabilitation and substance use disorder clinic center in Mobile, AL. ECD PROGRAM, INC NPI is 1215434378. The provider is registered as an organization entity type.

The provider's business location address is:

808 DOWNTOWNER LOOP W
MOBILE, AL
ZIP 36609-519
Phone: (251) 341-9504
Fax: (251) 341-9509

The provider's authorized official is Jemece Emanuel Gasaway .
The authorized official title is Director Of Licensing and has the following contact phone number (214) 365-6126.

The CLIA number assigned to this NPI record is 01D2165609 - other - opioid treatment program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2018 and was last updated on 6/10/2020.

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:

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