Debrick, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

DEBRICK, INC.

Practice address

2727 6TH St
1701 Montrose Drive
Tuscaloosa, AL 35401-1705

Phone

(205) 246-1592

Fax

(205) 752-9026

NPI assigned

Jan 19, 2010

Last updated

Jan 19, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Debbie Moore Jenkins

Title

Executive Director

Phone

(205) 246-1592

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1366773160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 6TH STREET",
            "address_2": "P. O. BOX 2442",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35403",
            "telephone_number": "205-246-1592",
            "fax_number": "205-752-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 6TH ST",
            "address_2": "1701 MONTROSE DRIVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011705",
            "telephone_number": "205-246-1592",
            "fax_number": "205-752-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRICK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-246-1592",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Errica M De Los Reyes, CRNA
• Joe Marco Espino De Los Reyes, CRNA
• Larry Deavers, LICSW, PIP
• William Keith Debell Sr., M.D.
• William Keith Debell Jr., D.P.T.
• Monica Lisette Decker Veal, ATC
• Heleene Dees
• Ashley Nicole Delaney
• Michael Jeffery Dellapenna, PA
• Marian Deloach, LPC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.