Provider Demographics
NPI:1790865400
Name:MTGY. ASSOC. FOR RETARDED CITIZENS, INC.
Entity Type:Organization
Organization Name:MTGY. ASSOC. FOR RETARDED CITIZENS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-281-6938
Mailing Address - Street 1:527 BUCKINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-2738
Mailing Address - Country:US
Mailing Address - Phone:334-281-6938
Mailing Address - Fax:334-286-9102
Practice Address - Street 1:527 BUCKINGHAM DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-2738
Practice Address - Country:US
Practice Address - Phone:334-281-6938
Practice Address - Fax:334-286-9102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL251C00000X251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services