Provider Demographics
NPI:1952144701
Name:STATE OF ALABAMA DEPARTMENT OF FINANCE
Entity type:Organization
Organization Name:STATE OF ALABAMA DEPARTMENT OF FINANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CCBHC STATE PROJECT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHALANDRA
Authorized Official - Middle Name:TAIASHA
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-353-4396
Mailing Address - Street 1:100 N UNION ST STE 430
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36104-3850
Mailing Address - Country:US
Mailing Address - Phone:334-353-4396
Mailing Address - Fax:
Practice Address - Street 1:100 N UNION ST STE 430
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36104-3850
Practice Address - Country:US
Practice Address - Phone:334-353-4396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALABAMA DEPARTMENT OF MENTAL HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)