| Aspen Family Center Of Alabama | |
|
336 Richmar Dr Mountain Brk AL 35213-4418 | |
| (937) 726-8629 | |
| Not Available |
| Full Name | Aspen Family Center Of Alabama |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 336 Richmar Dr, Mountain Brk, Alabama |
| Authorized Official Name and Position | Tanya Marie Odaniel (DIRECTOR) |
| Authorized Official Contact | 9377268629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Family Center Of Alabama 336 Richmar Dr Mountain Brk AL 35213-4418 Ph: (937) 726-8629 | Aspen Family Center Of Alabama 336 Richmar Dr Mountain Brk AL 35213-4418 Ph: (937) 726-8629 |
| NPI Number | 1154729622 |
|---|---|
| Provider Enumeration Date | 12/15/2014 |
| Last Update Date | 12/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154729622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3623C (Alabama) | Primary |
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