Provider Demographics
NPI:1376988030
Name:ELMORE COUNTY PARTNERSHIP FOR CHILDREN
Entity Type:Organization
Organization Name:ELMORE COUNTY PARTNERSHIP FOR CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-514-3594
Mailing Address - Street 1:PO BOX 642
Mailing Address - Street 2:8935 US HWY 231
Mailing Address - City:WETUMPKA
Mailing Address - State:AL
Mailing Address - Zip Code:36092-0011
Mailing Address - Country:US
Mailing Address - Phone:334-514-3594
Mailing Address - Fax:334-514-3596
Practice Address - Street 1:507 ALABAMA ST
Practice Address - Street 2:
Practice Address - City:WETUMPKA
Practice Address - State:AL
Practice Address - Zip Code:36092-1804
Practice Address - Country:US
Practice Address - Phone:334-514-3594
Practice Address - Fax:334-514-3596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health