| Engage Hope | |
|
15240 Hwy 231 431 N Hazel Green AL 35750 | |
| (256) 469-0606 | |
| Not Available |
| Full Name | Engage Hope |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 15240 Hwy 231 431 N, Hazel Green, Alabama |
| Authorized Official Name and Position | Daniel K Gann (CLINICAL / EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2567463626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Engage Hope Po Box 302 Hazel Green AL 35750-0302 Ph: (256) 746-3626 | Engage Hope 15240 Hwy 231 431 N Hazel Green AL 35750 Ph: (256) 469-0606 |
| NPI Number | 1942991369 |
|---|---|
| Provider Enumeration Date | 05/17/2023 |
| Last Update Date | 05/17/2023 |
| Certification Date | 05/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942991369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Peulthai House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14881 231/431 Highway North, Hazel Green, AL 35750 Phone: 256-813-5374 |