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
120 Carondolet Ct S
Mobile, AL 36608
United States
County
Mobile
Phone
8559392667 (Phone)
Billing Details
Address
PO Box 6787
Brandon, FL 335086013
Billing Phone
8559392667
Specialty Type
Counselor - Professional
Map
Address