| Southeast Outpatient Addiction Recovery | |
|
321 Westgate Pkwy Ste 4 Dothan AL 36303-3072 | |
| (334) 596-2486 | |
| (334) 446-5139 |
| Full Name | Southeast Outpatient Addiction Recovery |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 321 Westgate Pkwy Ste 4, Dothan, Alabama |
| Authorized Official Name and Position | Kimberly Ann Hart (CEO/COUNSELOR) |
| Authorized Official Contact | 3346777627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Outpatient Addiction Recovery 321 Westgate Pkwy Ste 4 Dothan AL 36303-3072 Ph: (334) 596-2486 | Southeast Outpatient Addiction Recovery 321 Westgate Pkwy Ste 4 Dothan AL 36303-3072 Ph: (334) 596-2486 |
| NPI Number | 1275245292 |
|---|---|
| Provider Enumeration Date | 12/21/2022 |
| Last Update Date | 12/21/2022 |
| Certification Date | 12/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275245292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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