Provider Demographics
NPI:1265504500
Name:BEHAVIORAL HEALTH CARE
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:M
Authorized Official - Middle Name:O
Authorized Official - Last Name:MOHABBAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-553-4365
Mailing Address - Street 1:661 HELEN KELLER BLVD
Mailing Address - Street 2:ST A
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35404
Mailing Address - Country:US
Mailing Address - Phone:205-554-0866
Mailing Address - Fax:205-554-0279
Practice Address - Street 1:661 HELEN KELLER BLVD
Practice Address - Street 2:ST A
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35404
Practice Address - Country:US
Practice Address - Phone:205-554-0866
Practice Address - Fax:205-554-0279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51083672OtherBCBS
C79015Medicare UPIN