Provider Demographics
NPI:1972754737
Name:UNITED CEREBRAL PALSY OF WEST ALABAMA, INC.
Entity Type:Organization
Organization Name:UNITED CEREBRAL PALSY OF WEST ALABAMA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:H
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-372-4203
Mailing Address - Street 1:1100 UCP PKWY
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35476-5066
Mailing Address - Country:US
Mailing Address - Phone:205-345-3031
Mailing Address - Fax:205-345-3035
Practice Address - Street 1:1100 UCP PKWY
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-5066
Practice Address - Country:US
Practice Address - Phone:205-345-3031
Practice Address - Fax:205-345-3035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services