Provider Demographics
NPI:1699828970
Name:ALABAMA DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION
Entity Type:Organization
Organization Name:ALABAMA DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMISSIONER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOUSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-242-3107
Mailing Address - Street 1:100 N UNION ST
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36130-0001
Mailing Address - Country:US
Mailing Address - Phone:334-242-3107
Mailing Address - Fax:
Practice Address - Street 1:100 N UNION ST
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36130-0001
Practice Address - Country:US
Practice Address - Phone:334-242-3107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health