Provider First Line Business Practice Location Address:
1100 7TH AVE
Provider Second Line Business Practice Location Address:
NORTHWESTERN ALABAMA MENTAL HEALTH CENTER
Provider Business Practice Location Address City Name:
JASPER
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35501-4329
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-387-0541
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/01/2013