Provider Demographics
NPI:1528398161
Name:ATONEMENT INC
Entity Type:Organization
Organization Name:ATONEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:LASHELL
Authorized Official - Last Name:HIGH
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:205-393-5832
Mailing Address - Street 1:22640 HERITAGE DR
Mailing Address - Street 2:
Mailing Address - City:MC CALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35111-2652
Mailing Address - Country:US
Mailing Address - Phone:205-393-5832
Mailing Address - Fax:
Practice Address - Street 1:3570 11TH ST NE
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35404-1906
Practice Address - Country:US
Practice Address - Phone:205-393-5832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-04
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL138985322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children