Provider Demographics
NPI:1275996290
Name:FLOWING BROOK INC.
Entity Type:Organization
Organization Name:FLOWING BROOK INC.
Other - Org Name:FLOWING BROOK INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHABRELL
Authorized Official - Middle Name:M
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:DSW-ABD, LMSW, MS
Authorized Official - Phone:334-372-5385
Mailing Address - Street 1:200 E WALNUT ST STE B
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081-2034
Mailing Address - Country:US
Mailing Address - Phone:844-347-5223
Mailing Address - Fax:
Practice Address - Street 1:2421 PRESIDENTS DR STE B-21
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-1632
Practice Address - Country:US
Practice Address - Phone:855-492-5203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-29
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4917B320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness