Brewer Porch Children'S Center

LBN: Brewer Porch Children'S Center
Brewer Porch Children'S Center is an health care organization with primary practice located at 2501 Woodland Rd , Tuscaloosa AL 35404-5028. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Brewer Porch Children'S Center can be contacted via phone (205) 348-7236, or through Segrest, Yvonne Lynn via phone (205) 348-9366.

Contact Information

Primary practice address
2501 Woodland Rd Tuscaloosa AL 35404-5028
Phone: (205) 348-7236
Fax: (205) 348-9368
Website:
Map and Directions
Authorized official contact:
Name: Segrest, Yvonne Lynn
Phone: (205) 348-9366

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1427229624
LBN Legal business name Brewer Porch Children'S Center
DBA Doing business as
Authorized official Segrest, Yvonne Lynn
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 14th, 2008
Last updated Jun 12th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427229624 NPPES
Alabama MEDICAID 330000027

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