Provider Demographics
NPI:1073769477
Name:ADDICTION & MENTAL HEALTH SERVICES INC
Entity Type:Organization
Organization Name:ADDICTION & MENTAL HEALTH SERVICES INC
Other - Org Name:BRADFORD HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:KIRSTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-251-7753
Mailing Address - Street 1:2101 MAGNOLIA AVE S
Mailing Address - Street 2:SUITE 518
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-2827
Mailing Address - Country:US
Mailing Address - Phone:205-251-7753
Mailing Address - Fax:205-251-7760
Practice Address - Street 1:220 PROVIDENCE MAIN ST NW UNIT 200
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-4917
Practice Address - Country:US
Practice Address - Phone:256-895-3848
Practice Address - Fax:256-895-3213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-08802OtherBLUE CROSS ALABAMA - SEIB & ALLKIDS