Provider Demographics
NPI:1104201805
Name:THE RILEY CENTER BEHAVIORAL AND EDUCATIONAL CENTER
Entity Type:Organization
Organization Name:THE RILEY CENTER BEHAVIORAL AND EDUCATIONAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRANE
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:256-882-2457
Mailing Address - Street 1:4092 MEMORIAL PKWY SW
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-4365
Mailing Address - Country:US
Mailing Address - Phone:256-882-2457
Mailing Address - Fax:256-882-2459
Practice Address - Street 1:4092 MEMORIAL PKWY SW
Practice Address - Street 2:SUITE 105
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-4365
Practice Address - Country:US
Practice Address - Phone:256-882-2457
Practice Address - Fax:256-882-2459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-22
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health