NPI 1174605422

Madison County Mental Retardation Board

Organisation Case Management Agency Huntsville, AL

Practice location

Address: 4717 University Dr NW Suite 106, Huntsville, AL 35816-3409
Phone: (256) 837-5777
Fax: (256) 837-5886

Authorised official

Name: Johanna Poates
Title: Executive Director
Phone: (256) 837-5777

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1174605422
Entity type: Organization
NPI issued: 19 Oct 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.