Organization Name: | COLLAT JEWISH FAMILY SERVICES |
NPI Number: | 1225487226 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLYN PEVEY (OPERATIONS DIRECTOR) |
Mailing Address: | 3940 Montclair Rd Suite 205 Mountain Brk |
State: | AL US |
Postal Code: | 352132427 |
Phone Number: | 2058793438 |
Fax Number: | 2058715939 |
NPI Enumeration Date: | 06/09/2016 |
NPI Last Update Date: | 06/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2425C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |