Provider Demographics
NPI:1164563060
Name:CINDY HABER CENTER, INC.
Entity Type:Organization
Organization Name:CINDY HABER CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-947-5608
Mailing Address - Street 1:PO BOX 853
Mailing Address - Street 2:
Mailing Address - City:ROBERTSDALE
Mailing Address - State:AL
Mailing Address - Zip Code:36567-0853
Mailing Address - Country:US
Mailing Address - Phone:251-947-5608
Mailing Address - Fax:251-947-6020
Practice Address - Street 1:23214 E CHICAGO ST
Practice Address - Street 2:
Practice Address - City:ROBERTSDALE
Practice Address - State:AL
Practice Address - Zip Code:36567
Practice Address - Country:US
Practice Address - Phone:251-947-5608
Practice Address - Fax:251-947-6020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL008303000Medicaid
AL591600024Medicaid
AL005437503Medicaid
AL591700024Medicaid