Southwest Alabama Chapter Coalition for Persons With Disabilities

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SOUTHWEST ALABAMA CHAPTER COALITION FOR PERSONS WITH DISABILITIES

Practice address

5304B Overlook Rd
Mobile, AL 36618-2331

Phone

(251) 460-0301

Fax

(251) 341-1267

NPI assigned

Jan 19, 2007

Last updated

Aug 22, 2020By 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

Mr. Michael Davis, MA PSYCHOLOGY

Title

Executive Director

Phone

(251) 460-0301

Specialties & licenses 1

Addresses

Other names 1

• Independent Living Center of Mobile Other name

Locations

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598818999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304B OVERLOOK RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366182331",
            "telephone_number": "251-460-0301",
            "fax_number": "251-341-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304B OVERLOOK RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366182331",
            "telephone_number": "251-460-0301",
            "fax_number": "251-341-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST ALABAMA CHAPTER COALITION FOR PERSONS WITH DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "251-460-0301",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA PSYCHOLOGY"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independent Living Center of Mobile",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Mobile, AL
• Providers in Mobile, AL by specialty
• Developmentally Disabled Services Day Training Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.