NPI 1275892523
State of Alabama
Practice location
- Address
- 200 University Blvd, Tuscaloosa, AL 35401-1250
- Phone
- (205) 759-0682
- Mailing address
- 2406 Deer Haven Dr, Northport, AL 35473-3051
Authorised official
- Name
- Malissia Ward
- Title
- RN
- Phone
- (205) 331-4747
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1275892523
- Entity type
- Organization
- NPI issued
- 8 May 2012
- Record last updated
- 8 May 2012
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.