Provider Demographics
NPI:1932380706
Name:HUMAN RESOURCE DEVELOPMENT INSTITUE-ALABAMA
Entity Type:Organization
Organization Name:HUMAN RESOURCE DEVELOPMENT INSTITUE-ALABAMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EFFIE
Authorized Official - Middle Name:G
Authorized Official - Last Name:BARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-441-9009
Mailing Address - Street 1:4111 WALL ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-2926
Mailing Address - Country:US
Mailing Address - Phone:334-396-9551
Mailing Address - Fax:
Practice Address - Street 1:222 S JEFFERSON ST
Practice Address - Street 2:SUITE 200
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60661-5603
Practice Address - Country:US
Practice Address - Phone:312-441-9009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUMAN RESOURCES DEVELOPMENT INSTITUE,INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
320800000X
AL320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness