| Organization Name: | THE CENTRE |
| NPI Number: | 1104073592 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT EDWIN COLCLOUGH (DIRECTOR) |
| Mailing Address: | 1290 Main St Ste E Daphne |
| State: | AL US |
| Postal Code: | 365268624 |
| Phone Number: | 2516250118 |
| Fax Number: | 2516250116 |
| NPI Enumeration Date: | 08/27/2008 |
| NPI Last Update Date: | 09/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPC 111 AL |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |