Provider Demographics
NPI:1568865228
Name:ST. CLAIR COUNTY DAY PROGRAM, INC
Entity Type:Organization
Organization Name:ST. CLAIR COUNTY DAY PROGRAM, INC
Other - Org Name:NEW DAY COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MARIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:205-594-2280
Mailing Address - Street 1:470 10TH ST
Mailing Address - Street 2:P. O. BOX 1653
Mailing Address - City:ASHVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35953-3504
Mailing Address - Country:US
Mailing Address - Phone:205-594-2280
Mailing Address - Fax:205-594-2283
Practice Address - Street 1:470 10TH ST
Practice Address - Street 2:
Practice Address - City:ASHVILLE
Practice Address - State:AL
Practice Address - Zip Code:35953-3504
Practice Address - Country:US
Practice Address - Phone:205-594-2280
Practice Address - Fax:205-594-2283
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. CLAIR COUNTY DAY PROGRAM, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health