NPI: 1215990734
Provider Name: SPECTRACARE HEALTH SYSTEMS, INC.
Former Legal Business Name: WIREGRASS MENTAL HEALTH BOARD, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
134 PREVATT RD
DOTHAN, AL
ZIP 36301
Phone: (334) 794-0731
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SPECTRACARE HEALTH SYSTEMS, INC. is a mental health (including community mental health center) clinic center in Dothan, AL. SPECTRACARE HEALTH SYSTEMS, INC. NPI is 1215990734. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Wiregrass Mental Health Board, Inc..
The provider's business location address is:
134 PREVATT RD
DOTHAN, AL
ZIP 36301-427
Phone: (334) 794-0731
Fax: (334) 671-9199
The provider's authorized official is Melissa Kirkland .
The authorized official title is Executive Director and has the following contact phone number (334) 712-2720.
The enumeration date for this NPI number is 4/7/2006 and was last updated on 11/28/2012.