Provider Demographics
NPI:1821560855
Name:ALABAMA ADULT & ADOLESCENCE SERVICES
Entity Type:Organization
Organization Name:ALABAMA ADULT & ADOLESCENCE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA V
Authorized Official - Middle Name:C
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-862-9765
Mailing Address - Street 1:2024 9TH PL NW
Mailing Address - Street 2:
Mailing Address - City:CENTER POINT
Mailing Address - State:AL
Mailing Address - Zip Code:35215-4215
Mailing Address - Country:US
Mailing Address - Phone:205-862-9765
Mailing Address - Fax:
Practice Address - Street 1:85 BAGBY DR STE 203
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-3705
Practice Address - Country:US
Practice Address - Phone:205-862-9765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-02
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty