Jatawans, Inc. | |
1354 Antwerp St Mobile AL 36605-4901 | |
(251) 472-9607 | |
Not Available |
Full Name | Jatawans, Inc. |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1354 Antwerp St, Mobile, Alabama |
Authorized Official Name and Position | Frandee J Lewis (DIRECTOR) |
Authorized Official Contact | 2514729607 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jatawans, Inc. 1354 Antwerp Street Mobile AL 36605 Ph: () - | Jatawans, Inc. 1354 Antwerp St Mobile AL 36605-4901 Ph: (251) 472-9607 |
NPI Number | 1407025836 |
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Provider Enumeration Date | 02/29/2008 |
Last Update Date | 02/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407025836 | NPI | - | NPPES |
739100056 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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