Organization Active NPI

Enterprise Behavioral Services

  • Community/Behavioral Health Agency
  • Enterprise, AL
National Provider Identifier
1932433752
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C1622A Issued in AL
Legal business name
ENTERPRISE BEHAVIORAL SERVICES
Practice address
1275 James Dr
Suite a
Enterprise, AL 36330-2063
Phone
(334) 393-9130
NPI assigned
Sep 25, 2009
Last updated
Sep 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Authorized official

Name
Crystal Juanita ChristianNPI 1568795417
Title
Therapist
Phone
(334) 393-9130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C1622A AL Primary

Addresses

Primary practice location

1275 James Dr
Suite a
Enterprise, AL 36330-2063

Mailing address

1275 James Dr
Suite a
Enterprise, AL 36330-2063
Phone (334) 393-9130

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1932433752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 JAMES DR",
            "address_2": "SUITE A",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302063",
            "telephone_number": "334-393-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 JAMES DR",
            "address_2": "SUITE A",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302063",
            "telephone_number": "334-393-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERPRISE BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "JUANITA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "334-393-9130"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": "C1622A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.