| Russell County Child Advocacy Center | |
|
1212 7th Ave Ste C Phenix City AL 36867-5805 | |
| (334) 297-1649 | |
| Not Available |
| Full Name | Russell County Child Advocacy Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1212 7th Ave Ste C, Phenix City, Alabama |
| Authorized Official Name and Position | Juanita Lynn Hart (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3342974962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell County Child Advocacy Center 67 Downing Dr Phenix City AL 36869-3342 Ph: (334) 297-4962 | Russell County Child Advocacy Center 1212 7th Ave Ste C Phenix City AL 36867-5805 Ph: (334) 297-1649 |
| NPI Number | 1518141480 |
|---|---|
| Provider Enumeration Date | 12/27/2007 |
| Last Update Date | 12/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518141480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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