| Ground Up Behavioral Health | |
|
1331 Old Oak Pl Montgomery AL 36117-6895 | |
| (716) 650-1590 | |
| Not Available |
| Full Name | Ground Up Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1331 Old Oak Pl, Montgomery, Alabama |
| Authorized Official Name and Position | Byung S Kwak (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7166501590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ground Up Behavioral Health 1331 Old Oak Pl Montgomery AL 36117-6895 Ph: (716) 650-1590 | Ground Up Behavioral Health 1331 Old Oak Pl Montgomery AL 36117-6895 Ph: (716) 650-1590 |
| NPI Number | 1902695661 |
|---|---|
| Provider Enumeration Date | 04/30/2025 |
| Last Update Date | 05/04/2025 |
| Certification Date | 05/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902695661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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