| Cos Place Llc | |
|
1010 5th Avenue Southwest Decatur AL 35601 | |
| (256) 227-0369 | |
| Not Available |
| Full Name | Cos Place Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1010 5th Avenue Southwest, Decatur, Alabama |
| Authorized Official Name and Position | Benitha Mass (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2562270369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cos Place Llc 212 W Troy St Ste B Dothan AL 36303 Ph: () - | Cos Place Llc 1010 5th Avenue Southwest Decatur AL 35601 Ph: (256) 227-0369 |
| NPI Number | 1588340939 |
|---|---|
| Provider Enumeration Date | 06/22/2023 |
| Last Update Date | 06/22/2023 |
| Certification Date | 06/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588340939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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