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1922793314
ELLIE MENTAL HEALTH - NORTH CENTRAL ALABAMA LLC
MOUNTAIN BRK, AL
NPI
1922793314
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Entity Type
Organization
Authorized Contact
DAVIS SLATE MANGE
Owner
205-613-3429
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2023-04-10
Last Update Date
2023-04-10
Business Address
ELLIE MENTAL HEALTH - NORTH CENTRAL ALABAMA LLC
4420 CORINTH DR
MOUNTAIN BRK, AL 35213-1816
Phone number: 205-613-3429
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Mailing Address
ELLIE MENTAL HEALTH - NORTH CENTRAL ALABAMA LLC
4420 CORINTH DR
MOUNTAIN BRK, AL 35213-1816
Phone number: 205-613-3429
Copy
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