Provider First Line Business Practice Location Address:
2140 UPPER WETUMPKA RD
Provider Second Line Business Practice Location Address:
MONTGOMERY MENTAL HEALTH AUTHORITY
Provider Business Practice Location Address City Name:
MONTGOMERY
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36107-1342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-295-6285
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/16/2008