Provider Demographics
NPI:1700520665
Name:NORTH CENTRAL ALABAMA REGIONAL COUNCIL OF GOVERNMENTS
Entity Type:Organization
Organization Name:NORTH CENTRAL ALABAMA REGIONAL COUNCIL OF GOVERNMENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:GRAVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-355-4515
Mailing Address - Street 1:PO BOX C
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35602-9003
Mailing Address - Country:US
Mailing Address - Phone:256-355-4515
Mailing Address - Fax:256-351-1380
Practice Address - Street 1:216 JACKSON ST SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-2514
Practice Address - Country:US
Practice Address - Phone:256-355-4515
Practice Address - Fax:256-351-1380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management