institution
Ivy Creek Prevention Center Llc
General Practice Physician in Dadeville, Alabama
NPI 1659755577

Ivy Creek Prevention Center Llc is a General Practice Physician based in Wetumpka, AL. Ivy Creek Prevention Center Llc practices in Dadeville, AL. The NPI Number for Ivy Creek Prevention Center Llc is 1659755577 and holds a License No. (Alabama).

The current practice location address for Ivy Creek Prevention Center Llc is 2129 Moonbrook Dr, Dadeville, AL and can be reached out via phone at 334-514-3848 and via fax at 334-514-3686.

Location: 2129 Moonbrook Dr, Dadeville, AL, 36092-0003
institution
Provider Profile Details
NPI Number
1659755577
Provider Name
Ivy Creek Prevention Center Llc
Credential
Provider Entity Type
Organization
Address
2129 Moonbrook Dr, Dadeville, AL, 36092-0003
Phone Number
334-514-3848
Fax Number
334-514-3686
Provider Enumeration Date
07/10/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2129 Moonbrook Dr
City
State
Zip
36853-5640
Phone Number
334-514-3848
Fax Number
334-514-3686
person
Provider Business Mailing Address Details
Address
2129 Moonbrook Dr
City
State
Zip
36853-5640
Phone Number
334-514-3848
Fax Number
334-514-3686
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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