CENTERS FOR DEVELOPMENTALLY DISABLED, NORTH CENTRAL AL

DECATUR, AL
NPI1740493436
Entity TypeOrganization
Authorized ContactSHAYLA SHA-VON JOHNSON
Com PT Roller
256-350-1458
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: AL  1-037625)
Enumeration Date2007-05-08
Last Update Date2025-08-01
Business Address
CENTERS FOR DEVELOPMENTALLY DISABLED, NORTH CENTRAL AL
1602 CHURCH ST SE
DECATUR, AL 35601-3402
Phone number: 256-350-1458
Mailing Address
CENTERS FOR DEVELOPMENTALLY DISABLED, NORTH CENTRAL AL
PO BOX 2091 1602 CHURCH ST SE;
DECATUR, AL 35601-3402
Phone number: 256-350-1458