| NPI | 1598924276 |
|---|---|
| Former Legal Business Name | MONTGOMERY AREA SUBSTANCE ABUSE TREATMENT INC |
| Entity Type | Organization |
| Authorized Contact | RICHARD SUNNY SKY Business Manager 334-224-2402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: AL 1847) | |
| 164W00000X Licensed Practical Nurse (Licence: AL 2-05352) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |