Provider Demographics
NPI:1003904301
Name:CALHOUN TREATMENT CENTER, INC.
Entity Type:Organization
Organization Name:CALHOUN TREATMENT CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:STARLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-831-4601
Mailing Address - Street 1:118 E CHOCCOLOCCO ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36203-1222
Mailing Address - Country:US
Mailing Address - Phone:256-831-4601
Mailing Address - Fax:256-831-4601
Practice Address - Street 1:118 E CHOCCOLOCCO ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203-1222
Practice Address - Country:US
Practice Address - Phone:256-831-4601
Practice Address - Fax:256-831-4601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51023876BOROtherBLUE CROSS PROVIDER