Provider Demographics
NPI:1457095911
Name:SOUTH CENTRAL ALABAMA DEVELOPMENT COMMISSION
Entity Type:Organization
Organization Name:SOUTH CENTRAL ALABAMA DEVELOPMENT COMMISSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TYSON
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-244-6903
Mailing Address - Street 1:5900 CARMICHAEL PL
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-2345
Mailing Address - Country:US
Mailing Address - Phone:334-244-6903
Mailing Address - Fax:334-271-2715
Practice Address - Street 1:5900 CARMICHAEL PL
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-2345
Practice Address - Country:US
Practice Address - Phone:334-244-6903
Practice Address - Fax:334-271-2715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management