Provider Demographics
NPI:1316113541
Name:BALDWIN COUNTY MENTAL HEALTH CENTER, INC. - ALLKIDS PLUS
Entity type:Organization
Organization Name:BALDWIN COUNTY MENTAL HEALTH CENTER, INC. - ALLKIDS PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF TECHNICAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SIDNEY
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:ARBOUR
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:251-990-4203
Mailing Address - Street 1:372 S GREENO RD
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-1916
Mailing Address - Country:US
Mailing Address - Phone:251-928-2871
Mailing Address - Fax:
Practice Address - Street 1:372 S GREENO RD
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-1916
Practice Address - Country:US
Practice Address - Phone:251-928-2871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BALDWIN COUNTY MENTAL HEALTH CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-11677OtherBCBS ALLKIDS PLUS