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GLENWOOD NPI 1225079262


NPI Information

NPI: 1225079262
Provider Name: GLENWOOD

Former Legal Business Name: CENTER FOR CHILD AND ADOLESCENT DEVELOPMENT

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 01D1064147

Address:
2361 FAIRLANE DR
MONTGOMERY, AL
ZIP 36116
Phone: (334) 262-5744
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GLENWOOD is a community behavioral health in Montgomery, AL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. GLENWOOD NPI is 1225079262. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Center For Child And Adolescent Development.

The provider's business location address is:

2361 FAIRLANE DR
MONTGOMERY, AL
ZIP 36116-633
Phone: (334) 262-5744
Fax: (334) 262-5155

The provider's authorized official is D Lee Yount .
The authorized official title is Executive Director and has the following contact phone number (205) 795-3210.

The CLIA number assigned to this NPI record is 01D1064147 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 2/15/2017.


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
1251S00000XCommunity/Behavioral HealthYes

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
1529925380MEDICAIDALABAMA

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: 11/14/2023

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