| Wiregrass Behavioral Systems, Pc | |
| 
					6501 Us Highway 431 N Headland AL 36345-5657  | |
| (334) 695-2253 | |
| Not Available | 
| Full Name | Wiregrass Behavioral Systems, Pc | 
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry | 
| Location | 6501 Us Highway 431 N, Headland, Alabama | 
| Authorized Official Name and Position | Bascom Kyle Bradshaw (DIRECTOR) | 
| Authorized Official Contact | 2104543703 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Wiregrass Behavioral Systems, Pc 1358 State Highway 134 E Headland AL 36345-8517 Ph: () -  | Wiregrass Behavioral Systems, Pc 6501 Us Highway 431 N Headland AL 36345-5657 Ph: (334) 695-2253  | 
| NPI Number | 1568840460 | 
|---|---|
| Provider Enumeration Date | 05/12/2015 | 
| Last Update Date | 05/12/2015 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568840460 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | DO.1388 (Alabama) | Primary | 
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