Contract Details
EZ Comp Care, Inc.
Facility name
EZ Behavioral Health
Provider ID
P000009166
NPI
1891157376
Tax ID
753001444
Effective Date
5/8/2019
Last Updated
5/21/2019
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_413
Location Details
Address
209 Idlewood Cir
Alexandria, AL 36250
United States
County
Calhoun
Phone
8559392667 (Phone)
Billing Details
Address
PO Box 6787
Brandon, FL 335086013
Billing Phone
8559392667
Specialty Type
Counselor - Professional
Map
Address