| Madison Behavioral Diagnostic And Treatment Services | |
|
1643 Slaughter Rd Madison AL 35758-8692 | |
| (256) 895-8148 | |
| (256) 489-8148 |
| Full Name | Madison Behavioral Diagnostic And Treatment Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1643 Slaughter Rd, Madison, Alabama |
| Authorized Official Name and Position | Douglas William Adams (PRESIDENT OWNER) |
| Authorized Official Contact | 2568958148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Behavioral Diagnostic And Treatment Services Po Box 383 Madison AL 35758-0383 Ph: (256) 895-8148 | Madison Behavioral Diagnostic And Treatment Services 1643 Slaughter Rd Madison AL 35758-8692 Ph: (256) 895-8148 |
| NPI Number | 1851469142 |
|---|---|
| Provider Enumeration Date | 12/03/2006 |
| Last Update Date | 02/01/2008 |
| Medicare PECOS PAC ID | 1153305438 |
|---|---|
| Medicare Enrollment ID | O20040615000725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851469142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 22646 (Alabama) | Primary |
| Provider Name | Douglas W Adams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043291123 PECOS PAC ID: 5597666420 Enrollment ID: I20040115000143 |
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